Provider Demographics
NPI:1467708883
Name:PATEL, SHRUJA P (MD)
Entity Type:Individual
Prefix:DR
First Name:SHRUJA
Middle Name:P
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:25314 KINGSLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7254
Mailing Address - Country:US
Mailing Address - Phone:832-508-6632
Mailing Address - Fax:832-437-1640
Practice Address - Street 1:25314 KINGSLAND BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7254
Practice Address - Country:US
Practice Address - Phone:832-508-6632
Practice Address - Fax:832-437-1640
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-03
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10043564207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine