Provider Demographics
NPI:1952697385
Name:PATEL, DHRUTI B (MD)
Entity Type:Individual
Prefix:
First Name:DHRUTI
Middle Name:B
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:16605 SOUTHWEST FWY STE 175
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-0003
Mailing Address - Country:US
Mailing Address - Phone:713-777-5334
Mailing Address - Fax:713-429-5207
Practice Address - Street 1:4502 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4402
Practice Address - Country:US
Practice Address - Phone:210-358-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ2822208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX396344YT8BOtherMEDICARE
TX8FK208OtherBCBS TX
TX344395403OtherMEDICAID
TX6400036OtherCIGNA
TXP01629585OtherRR MEDICARE
TX5628146OtherUHC
TX4687076OtherAETNA