Provider Demographics
NPI:1306009659
Name:PATEL, SHEETAL M (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEETAL
Middle Name:M
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4001 W 15TH ST STE 335
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5859
Mailing Address - Country:US
Mailing Address - Phone:972-596-5225
Mailing Address - Fax:972-596-2684
Practice Address - Street 1:4001 W 15TH ST STE 335
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5859
Practice Address - Country:US
Practice Address - Phone:972-596-5225
Practice Address - Fax:972-596-2684
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN3977208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN3977OtherTEXAS STATE MEDICAL BOARD