MEDICARE: DR. PINAKIN R PATEL MD

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
1	207RN0300X	Nephrology Physician	J2727	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00156233	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8877B9	OTHER	TX	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265531842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PINAKIN R PATEL MD

Provider Business Mailing Address
First Line	:	1170 BLALOCK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-7421
Country	:	US
Telephone Number	:	713-464-0236
Fax Number	:	713-463-8282

Provider Business Practice Location Address
First Line	:	1170 BLALOCK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-7421
Country	:	US
Telephone Number	:	713-464-0236
Fax Number	:	713-463-8282

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	09/16/2022

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