Provider Demographics
NPI:1922111061
Name:PATEL, DHARMESH A (MD)
Entity Type:Individual
Prefix:DR
First Name:DHARMESH
Middle Name:A
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:9811 KATY FWY STE 1060
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1280
Mailing Address - Country:US
Mailing Address - Phone:832-262-2677
Mailing Address - Fax:866-865-0063
Practice Address - Street 1:9811 KATY FWY STE 1060
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1280
Practice Address - Country:US
Practice Address - Phone:832-262-2677
Practice Address - Fax:866-865-0063
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7508171400000X, 2083B0002X, 207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No171400000XOther Service ProvidersHealth & Wellness Coach
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1066788Medicaid