Provider Demographics
NPI:1982643979
Name:PATEL, HAROON I (MD)
Entity Type:Individual
Prefix:
First Name:HAROON
Middle Name:I
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3533 S ALAMEDA ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1721
Mailing Address - Country:US
Mailing Address - Phone:361-694-4710
Mailing Address - Fax:361-694-4701
Practice Address - Street 1:3533 S ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1721
Practice Address - Country:US
Practice Address - Phone:361-694-6712
Practice Address - Fax:361-694-4701
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2011-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA780692086S0120X
TXL55082088P0231X, 2086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX156279502Medicaid
TX8S9331OtherBLUE CROSS BLUE SHIELD
TXF85116Medicare UPIN
8L0030Medicare PIN