Provider Demographics
NPI:1326010208
Name:PATEL, PARESHKUMAR K (MD)
Entity Type:Individual
Prefix:MR
First Name:PARESHKUMAR
Middle Name:K
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2000 CRAWFORD STREET
Mailing Address - Street 2:SUITE 1700
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-9007
Mailing Address - Country:US
Mailing Address - Phone:713-802-1300
Mailing Address - Fax:713-802-9107
Practice Address - Street 1:2000 CRAWFORD ST
Practice Address - Street 2:SUITE 1700
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-9000
Practice Address - Country:US
Practice Address - Phone:713-802-1300
Practice Address - Fax:713-802-9107
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3775207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1672438Medicaid
TX8D3836Medicare ID - Type Unspecified
TX1672438Medicaid