Provider Demographics
NPI:1508986423
Name:PATEL, YOGINI H (MD)
Entity Type:Individual
Prefix:DR
First Name:YOGINI
Middle Name:H
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:936 MOUNTAIN CREEK RD # APTZ294
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37405-1743
Mailing Address - Country:US
Mailing Address - Phone:423-870-4042
Mailing Address - Fax:
Practice Address - Street 1:730 E 11TH ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-3103
Practice Address - Country:US
Practice Address - Phone:423-265-5708
Practice Address - Fax:423-265-5713
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN24168207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ003096Medicaid
TNF71473Medicare UPIN