Provider Demographics
NPI:1508022484
Name:PATEL, PARESH D (MD)
Entity Type:Individual
Prefix:DR
First Name:PARESH
Middle Name:D
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13325 HARGRAVE RD STE 265
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4539
Mailing Address - Country:US
Mailing Address - Phone:281-870-4567
Mailing Address - Fax:281-870-4567
Practice Address - Street 1:13325 HARGRAVE RD STE 265
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-1190
Practice Address - Country:US
Practice Address - Phone:281-870-4567
Practice Address - Fax:281-870-4884
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-31
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3238207R00000X, 207RC0200X, 207RS0012X, 207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX291923502Medicaid
TX29468712OtherDRIVER'S LIC
TX8EA794OtherBLUE CROSS BLUE SHIELD
TX291923503Medicaid
TX29468712OtherDRIVER'S LIC
TX8EA794OtherBLUE CROSS BLUE SHIELD