Provider Demographics
NPI:1750492088
Name:PATEL, MANEESH NATVARLAL (MD)
Entity Type:Individual
Prefix:MR
First Name:MANEESH
Middle Name:NATVARLAL
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11717 HIGHLAND MEADOW DR #300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6830
Mailing Address - Country:US
Mailing Address - Phone:281-464-6042
Mailing Address - Fax:281-464-6706
Practice Address - Street 1:11717 HIGHLAND MEADOW DR #300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6830
Practice Address - Country:US
Practice Address - Phone:281-464-6042
Practice Address - Fax:281-464-6706
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD061924L207R00000X
TXK4520207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX030312502Medicaid
TX1030312501Medicaid
TX110179273OtherRAILROAD MEDICARE
TX0066CROtherBCBS
TX030312502Medicaid