Provider Demographics
NPI:1508284688
Name:PATEL, SUNNY BHARAT
Entity Type:Individual
Prefix:
First Name:SUNNY
Middle Name:BHARAT
Last Name:PATEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2495 S MASON RD
Mailing Address - Street 2:APT 223
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-6068
Mailing Address - Country:US
Mailing Address - Phone:713-594-5745
Mailing Address - Fax:
Practice Address - Street 1:2495 S MASON RD
Practice Address - Street 2:APT 223
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-6068
Practice Address - Country:US
Practice Address - Phone:713-594-5745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-04
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS3040207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology