Provider Demographics
NPI:1568941508
Name:PATEL, MEERAJ DEEPAK (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEERAJ
Middle Name:DEEPAK
Last Name:PATEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3385 ASHTON SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-5305
Mailing Address - Country:US
Mailing Address - Phone:832-875-6292
Mailing Address - Fax:
Practice Address - Street 1:25621 NELSON WAY UNIT 110
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5388
Practice Address - Country:US
Practice Address - Phone:281-392-8222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-10
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX344321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice