Provider Demographics
NPI:1265531842
Name:PATEL, PINAKIN R (MD)
Entity type:Individual
Prefix:DR
First Name:PINAKIN
Middle Name:R
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1170 BLALOCK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-7421
Mailing Address - Country:US
Mailing Address - Phone:713-464-0236
Mailing Address - Fax:713-463-8282
Practice Address - Street 1:1170 BLALOCK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-7421
Practice Address - Country:US
Practice Address - Phone:713-464-0236
Practice Address - Fax:713-463-8282
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ2727207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8877B9OtherBLUE CROSS BLUE SHIELD
TXP00156233OtherRAILROAD MEDICARE
TX134069708Medicaid
TXP00156233OtherRAILROAD MEDICARE
TXF46124Medicare UPIN