Provider Demographics
NPI:1972551984
Name:PATEL, DEEPAK H (MD)
Entity Type:Individual
Prefix:DR
First Name:DEEPAK
Middle Name:H
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:16980 DALLAS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1908
Mailing Address - Country:US
Mailing Address - Phone:817-293-8441
Mailing Address - Fax:817-293-8505
Practice Address - Street 1:11803 SOUTH FWY STE 310
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-7036
Practice Address - Country:US
Practice Address - Phone:817-293-8441
Practice Address - Fax:817-293-8505
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK6216207UN0901X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX119163703Medicaid
TX119163702Medicaid
TX119163702Medicaid
TX119163703Medicaid
TX88670NMedicare PIN