MEDICARE: DR. MEGHA PATEL-BANKER 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	207RR0500X	Rheumatology Physician	Q3761	TX

General Provider Information

NPI Number	:	1528229499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGHA PATEL-BANKER MD

Provider Business Mailing Address
First Line	:	981 STATE HIGHWAY 121 STE 3150
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-6151
Country	:	US
Telephone Number	:	972-798-8553
Fax Number	:	972-798-8556

Provider Business Practice Location Address
First Line	:	981 STATE HIGHWAY 121 STE 3150
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-6151
Country	:	US
Telephone Number	:	972-798-8553
Fax Number	:	972-798-8556

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

Provider Enumeration Date	:	06/23/2008
Last Update Date	:	07/01/2024

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