Provider Demographics
NPI:1457674830
Name:NILESH J. PATEL, M.D., P.A.
Entity Type:Organization
Organization Name:NILESH J. PATEL, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-313-4666
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-12
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ52332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2821514 01Medicaid
TX0A6302Medicare PIN