Provider Demographics
NPI:1386629699
Name:PATEL, RAKESH (DO)
Entity Type:Individual
Prefix:
First Name:RAKESH
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9539 HUFFMEISTER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2856
Mailing Address - Country:US
Mailing Address - Phone:832-593-8100
Mailing Address - Fax:832-593-8105
Practice Address - Street 1:9539 HUFFMEISTER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2856
Practice Address - Country:US
Practice Address - Phone:832-593-8100
Practice Address - Fax:832-593-8105
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1427207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145178302Medicaid
TX8A7527Medicare PIN
H71315Medicare UPIN