Provider Demographics
NPI:1346526340
Name:PATEL, SURYAKANT JASHBHAI (MD, FAAOS)
Entity Type:Individual
Prefix:DR
First Name:SURYAKANT
Middle Name:JASHBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD, FAAOS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3703 MONTAGUE DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-3941
Mailing Address - Country:US
Mailing Address - Phone:806-355-2526
Mailing Address - Fax:
Practice Address - Street 1:3703 MONTAGUE DR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-3941
Practice Address - Country:US
Practice Address - Phone:806-355-2526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-23
Last Update Date:2011-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF 7566207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery