Provider Demographics
NPI:1851589782
Name:PATEL, NEHA BIRJU (DO)
Entity Type:Individual
Prefix:
First Name:NEHA
Middle Name:BIRJU
Last Name:PATEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 BITTERS RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-2369
Mailing Address - Country:US
Mailing Address - Phone:210-436-8400
Mailing Address - Fax:833-452-1052
Practice Address - Street 1:901 BITTERS RD STE 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-2369
Practice Address - Country:US
Practice Address - Phone:210-436-8400
Practice Address - Fax:726-245-0023
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT6993208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0081713Medicaid
OHH180231Medicare PIN
OH0081713Medicaid