Provider Demographics
NPI:1649405382
Name:PATEL, ABHILASHA JAYANTILAL (MD)
Entity Type:Individual
Prefix:DR
First Name:ABHILASHA
Middle Name:JAYANTILAL
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-0813
Practice Address - Street 1:925 GESSNER RD STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2545
Practice Address - Country:US
Practice Address - Phone:713-242-3500
Practice Address - Fax:713-242-3514
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP1-0034766207R00000X
TXP96852085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX337347402Medicaid
TX337347401Medicaid
TX352656YKYCMedicare PIN
TX337347401Medicaid