Provider Demographics
NPI:1972765667
Name:PATEL, GUNJAN SILKY (MD)
Entity Type:Individual
Prefix:
First Name:GUNJAN
Middle Name:SILKY
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18300 KATY FWY STE 135
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-1520
Mailing Address - Country:US
Mailing Address - Phone:832-522-8535
Mailing Address - Fax:832-522-8536
Practice Address - Street 1:18300 KATY FWY STE 135
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1520
Practice Address - Country:US
Practice Address - Phone:832-522-8535
Practice Address - Fax:832-522-8536
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN8571208100000X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8GG727OtherBC/BS PROVIDER TRANSACTION NUMBER