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NPI Code Detail

MEDICARE: DR. JAYENDRA K PATEL M.D.

MEDICARE: DR. JAYENDRA K 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
1207R00000XInternal Medicine PhysicianL5866TX

Other Identifiers

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

General Provider Information

NPI Number : 1881782175
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAYENDRA K PATEL M.D.
Provider Business Mailing Address
First Line : 4700 W SAM HOUSTON PKWY N STE 220
Second Line :
City : HOUSTON
State : TX
Zip : 77041-8224
Country : US
Telephone Number : 713-402-7824
Fax Number : 713-570-0196
Provider Business Practice Location Address
First Line : 4700 W SAM HOUSTON PKWY N STE 220
Second Line :
City : HOUSTON
State : TX
Zip : 77041-8224
Country : US
Telephone Number : 713-402-7824
Fax Number : 713-570-0196
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 06/20/2024

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