MEDICARE: DR. RAJNIKANT R PATEL M.D.

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	G9184	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831105790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJNIKANT R PATEL M.D.

Provider Business Mailing Address
First Line	:	2121 WILLIAMS TRACE BLVD STE 300
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4526
Country	:	US
Telephone Number	:	281-747-7620
Fax Number	:	281-747-7621

Provider Business Practice Location Address
First Line	:	2121 WILLIAMS TRACE BLVD STE 300
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4526
Country	:	US
Telephone Number	:	281-747-7620
Fax Number	:	281-747-7621

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	12/31/2024

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