Provider Demographics
NPI:1497794952
Name:PATEL, HARSHILA R (MD)
Entity Type:Individual
Prefix:DR
First Name:HARSHILA
Middle Name:R
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:626 BRENTWOOD EAST DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-6543
Mailing Address - Country:US
Mailing Address - Phone:615-833-6411
Mailing Address - Fax:615-832-0432
Practice Address - Street 1:626 BRENTWOOD EAST DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-6543
Practice Address - Country:US
Practice Address - Phone:615-833-6411
Practice Address - Fax:615-832-0432
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000023854208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN203751685OtherTAX ID
TN4117226OtherBLUE CROSS BLUE SHIELD
TN3497120Medicaid
TNF43194Medicare UPIN