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NPI Code Detail

MEDICARE: DR. VANEESHA VALLABH-PATEL D.O

MEDICARE: DR. VANEESHA VALLABH-PATEL D.O
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171000000XMilitary Health Care ProviderU6362TX
2207VF0040XUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianU6362TX
3207V00000XObstetrics & Gynecology PhysicianU6362TX

General Provider Information

NPI Number : 1134357593
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VANEESHA VALLABH-PATEL D.O
Provider Business Mailing Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-916-5612
Fax Number :
Provider Business Practice Location Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-916-5612
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2009
Last Update Date : 04/02/2026

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