Provider Demographics
NPI:1346449600
Name:PATEL, NIMISHA A (MD)
Entity Type:Individual
Prefix:
First Name:NIMISHA
Middle Name:A
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3100 TIMMONS LANE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5938
Mailing Address - Country:US
Mailing Address - Phone:713-529-3867
Mailing Address - Fax:713-529-2121
Practice Address - Street 1:3100 TIMMONS LANE
Practice Address - Street 2:SUITE 150
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5938
Practice Address - Country:US
Practice Address - Phone:713-529-3867
Practice Address - Fax:713-529-2121
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2014-10-27
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Provider Licenses
StateLicense IDTaxonomies
TXK0979207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX106052703Medicaid
TX106052703Medicaid
TX337319YKQHMedicare PIN