Provider Demographics
NPI:1407860513
Name:PATEL, NILESH J (MD)
Entity Type:Individual
Prefix:DR
First Name:NILESH
Middle Name:J
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3533 TOWN CENTER BLVD S
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1454
Mailing Address - Country:US
Mailing Address - Phone:281-313-4666
Mailing Address - Fax:281-566-1159
Practice Address - Street 1:3533 TOWN CENTER BLVD S
Practice Address - Street 2:SUITE 300
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1454
Practice Address - Country:US
Practice Address - Phone:281-313-4666
Practice Address - Fax:281-566-1159
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ52332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1156127-02Medicaid
TX1156127-02Medicaid