Provider Demographics
NPI:1013285659
Name:PATEL, NIYATI (OD)
Entity Type:Individual
Prefix:DR
First Name:NIYATI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:22741 PROFESSIONAL DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-6005
Mailing Address - Country:US
Mailing Address - Phone:281-319-4334
Mailing Address - Fax:281-319-4855
Practice Address - Street 1:3100 WESLAYAN ST STE 400
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5752
Practice Address - Country:US
Practice Address - Phone:713-526-1600
Practice Address - Fax:713-526-0679
Is Sole Proprietor?:No
Enumeration Date:2011-12-11
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2244152W00000X
TX10765TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist