Provider Demographics
NPI:1467895078
Name:PATEL, AMIT JAYANTILAL (DO)
Entity Type:Individual
Prefix:
First Name:AMIT
Middle Name:JAYANTILAL
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 1:925 GESSNER RD STE 400
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2547
Mailing Address - Country:US
Mailing Address - Phone:132-422-6517
Mailing Address - Fax:713-242-2652
Practice Address - Street 1:925 GESSNER RD STE 400
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2547
Practice Address - Country:US
Practice Address - Phone:132-422-6517
Practice Address - Fax:713-242-2652
Is Sole Proprietor?:No
Enumeration Date:2013-04-12
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ5234207R00000X
TXQ5243207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine