Provider Demographics
NPI:1912147927
Name:PATEL, MANISH LALJIBHAI (MD)
Entity Type:Individual
Prefix:
First Name:MANISH
Middle Name:LALJIBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1400 WALLACE BLVD
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1708
Mailing Address - Country:US
Mailing Address - Phone:806-414-9100
Mailing Address - Fax:806-354-5717
Practice Address - Street 1:7737 SOUTHWEST FWY STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1824
Practice Address - Country:US
Practice Address - Phone:281-688-4088
Practice Address - Fax:281-929-0090
Is Sole Proprietor?:No
Enumeration Date:2009-03-03
Last Update Date:2023-03-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXQ5530207RP1001X, 207RS0012X, 207R00000X, 207RC0200X
TX45085207RP1001X, 207R00000X, 207RC0200X
MI4301092205207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX346905802Medicaid
OK200589970 AMedicaid
NM98580795Medicaid
TX346905801Medicaid
TX346905802Medicaid