Provider Demographics
NPI:1700176369
Name:PATEL, UMANG (MD)
Entity type:Individual
Prefix:DR
First Name:UMANG
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:DALLAS
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-2987
Practice Address - Street 1:9323 PINECROFT DR
Practice Address - Street 2:SUITE 110
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3749
Practice Address - Country:US
Practice Address - Phone:281-943-2440
Practice Address - Fax:281-943-2404
Is Sole Proprietor?:No
Enumeration Date:2011-04-15
Last Update Date:2017-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ62592085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX111815002OtherGROUP MEDICAID
TX365668801Medicaid
TX0019BYOtherGROUP MEDICARE
TX365668802Medicaid
TX365668803Medicaid
TX365668801Medicaid
TX532265YQCCMedicare UPIN
TX365668802Medicaid