Provider Demographics
NPI:1841895869
Name:PATEL, KRUPALI (PHD)
Entity type:Individual
Prefix:DR
First Name:KRUPALI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13320 TOMBALL PKWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77086-3129
Mailing Address - Country:US
Mailing Address - Phone:256-527-5829
Mailing Address - Fax:
Practice Address - Street 1:2110 N FRAZIER ST
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1203
Practice Address - Country:US
Practice Address - Phone:936-760-3101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64483183500000X
TN42600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist