Provider Demographics
NPI:1912361056
Name:PATEL, NIRAL GOVIND (DO, MS)
Entity Type:Individual
Prefix:DR
First Name:NIRAL
Middle Name:GOVIND
Last Name:PATEL
Suffix:
Gender:M
Credentials:DO, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 N K CTR APT A106
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1530
Mailing Address - Country:US
Mailing Address - Phone:432-770-4717
Mailing Address - Fax:
Practice Address - Street 1:1330 E 6TH ST STE 105
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6608
Practice Address - Country:US
Practice Address - Phone:956-296-7710
Practice Address - Fax:956-296-7705
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-05
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT0311207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH08PQ04801OtherBCBS
TX4226243-01Medicaid