Provider Demographics
NPI:1982304473
Name:PATEL, SAHEER (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAHEER
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15217 FERNHILL DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-3975
Mailing Address - Country:US
Mailing Address - Phone:512-363-3872
Mailing Address - Fax:
Practice Address - Street 1:1110 W WILLIAM CANNON DR STE 401
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-5498
Practice Address - Country:US
Practice Address - Phone:210-306-4121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program