Provider Demographics
NPI:1992011068
Name:HARSHAD M PATEL M.D. APMC
Entity Type:Organization
Organization Name:HARSHAD M PATEL M.D. APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARSHADBHAI
Authorized Official - Middle Name:MANIBHAI
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-466-3702
Mailing Address - Street 1:4216 FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-1360
Mailing Address - Country:US
Mailing Address - Phone:504-466-3702
Mailing Address - Fax:504-468-9374
Practice Address - Street 1:4216 FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-1360
Practice Address - Country:US
Practice Address - Phone:504-466-3702
Practice Address - Fax:504-468-9374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-26
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD 09704R207R00000X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1965952Medicaid
LA1965952Medicaid