Provider Demographics
NPI:1750693859
Name:PATEL, VIDHI (MD)
Entity type:Individual
Prefix:MRS
First Name:VIDHI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VIDHI
Other - Middle Name:
Other - Last Name:SHETA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3001 FM 2181
Mailing Address - Street 2:STE 300
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210
Mailing Address - Country:US
Mailing Address - Phone:940-497-4900
Mailing Address - Fax:940-497-4901
Practice Address - Street 1:3001 FM 2181
Practice Address - Street 2:STE 300
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210
Practice Address - Country:US
Practice Address - Phone:940-497-4900
Practice Address - Fax:940-497-4901
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-07
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA124803207Q00000X
TXR4888207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty