Provider Demographics
NPI:1730324054
Name:PATEL, JIGNESH DASHARATH (MD)
Entity Type:Individual
Prefix:
First Name:JIGNESH
Middle Name:DASHARATH
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JIGNESHKUMAR
Other - Middle Name:DASHARATHBHAI
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6565 FANNIN ST
Mailing Address - Street 2:EGPA
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2703
Mailing Address - Country:US
Mailing Address - Phone:832-496-9530
Mailing Address - Fax:832-645-7417
Practice Address - Street 1:6565 FANNIN ST
Practice Address - Street 2:EGPA
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2703
Practice Address - Country:US
Practice Address - Phone:832-496-9530
Practice Address - Fax:832-645-7417
Is Sole Proprietor?:No
Enumeration Date:2008-12-16
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ7943207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine