Provider Demographics
NPI:1811955792
Name:PATEL, AKASH A (M D)
Entity type:Individual
Prefix:DR
First Name:AKASH
Middle Name:A
Last Name:PATEL
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:12700 PARK CENTRAL DR STE 1210
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-1522
Mailing Address - Country:US
Mailing Address - Phone:214-987-3376
Mailing Address - Fax:469-532-0273
Practice Address - Street 1:1919 S SHILOH RD
Practice Address - Street 2:SUITE 300, LB42
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-8234
Practice Address - Country:US
Practice Address - Phone:972-278-4992
Practice Address - Fax:972-271-1597
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2003207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8BL011OtherBLUE CROSS PROVIDER ID EFFECTIVE 9/1/08
TXP00290102OtherRAILROAD MEDICARE
TX176553901Medicaid
TX8G3564OtherBLUE CROSS
TX8G3564OtherBLUE CROSS
TX8BL011OtherBLUE CROSS PROVIDER ID EFFECTIVE 9/1/08