MEDICARE: DR. MADIHA PATEL D.D.S.

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	1223G0001X	General Practice Dentistry	23169	TX
2	1223G0001X	General Practice Dentistry	22003	OH

General Provider Information

NPI Number	:	1508852047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MADIHA PATEL D.D.S.

Provider Business Mailing Address
First Line	:	6704 HILLCROFT AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-4804
Country	:	US
Telephone Number	:	713-995-1700
Fax Number	:

Provider Business Practice Location Address
First Line	:	6704 HILLCROFT AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-4804
Country	:	US
Telephone Number	:	713-995-1700
Fax Number	:

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

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	10/01/2025

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