Provider Demographics
NPI:1891903779
Name:PATEL, SAMIR RASHMIKANT (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMIR
Middle Name:RASHMIKANT
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 LONDON DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-3444
Mailing Address - Country:US
Mailing Address - Phone:512-797-0788
Mailing Address - Fax:512-707-0777
Practice Address - Street 1:6001 LONDON DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-3444
Practice Address - Country:US
Practice Address - Phone:512-797-0788
Practice Address - Fax:512-707-0777
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0900207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology