Provider Demographics
NPI:1023300449
Name:PATEL, MOHITA ANIL (MD)
Entity type:Individual
Prefix:
First Name:MOHITA
Middle Name:ANIL
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9255 DALLAS PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-4211
Mailing Address - Country:US
Mailing Address - Phone:972-377-1490
Mailing Address - Fax:972-377-1499
Practice Address - Street 1:9255 DALLAS PKWY STE 110
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4211
Practice Address - Country:US
Practice Address - Phone:972-377-1490
Practice Address - Fax:972-377-1499
Is Sole Proprietor?:No
Enumeration Date:2011-05-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1259207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX338690605Medicaid
TX338690607Medicaid