Provider Demographics
NPI:1871643015
Name:PATEL, MAHENDRA NATWARLAL (MD)
Entity Type:Individual
Prefix:DR
First Name:MAHENDRA
Middle Name:NATWARLAL
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1208
Mailing Address - Street 2:
Mailing Address - City:TERRELL
Mailing Address - State:TX
Mailing Address - Zip Code:75160-0020
Mailing Address - Country:US
Mailing Address - Phone:972-563-8111
Mailing Address - Fax:972-563-8114
Practice Address - Street 1:1553 STATE HIGHWAY 34 S
Practice Address - Street 2:SUITE # 600
Practice Address - City:TERRELL
Practice Address - State:TX
Practice Address - Zip Code:75160-4833
Practice Address - Country:US
Practice Address - Phone:972-563-8111
Practice Address - Fax:972-563-8114
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF8979207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF8979OtherTEXAS MEDICAL LICENCE