Provider Demographics
NPI:1508244070
Name:PATIL, PALLAVI (MD)
Entity Type:Individual
Prefix:
First Name:PALLAVI
Middle Name:
Last Name:PATIL
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2501 SOUTH HIGHWAY 121
Mailing Address - Street 2:SUITE 1210
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067
Mailing Address - Country:US
Mailing Address - Phone:972-966-7827
Mailing Address - Fax:972-966-7899
Practice Address - Street 1:2501 SOUTH HIGHWAY 121
Practice Address - Street 2:SUITE 1210
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067
Practice Address - Country:US
Practice Address - Phone:972-966-7827
Practice Address - Fax:972-966-7899
Is Sole Proprietor?:No
Enumeration Date:2015-05-15
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXS9770207ZP0102X
ALMD.40975207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology