Provider Demographics
NPI:1255600029
Name:PATEL, MAYA NATVAR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MAYA
Middle Name:NATVAR
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 JENSEN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77020-8416
Mailing Address - Country:US
Mailing Address - Phone:843-267-3221
Mailing Address - Fax:
Practice Address - Street 1:2130 W HOLCOMBE BLVD FL 10
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3306
Practice Address - Country:US
Practice Address - Phone:713-600-0934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-22
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54682183500000X
SC13494183500000X
GARPH026247183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist