Healthcare Provider Details

I. General information

NPI: 1437128527
Provider Name (Legal Business Name): YOGESHKUMAR T. PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 10/07/2022
Certification Date: 10/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 HOSPITAL DR
ABILENE TX
79606-5289
US

IV. Provider business mailing address

PO BOX 6898
ABILENE TX
79608-6898
US

V. Phone/Fax

Practice location:
  • Phone: 325-795-2100
  • Fax: 325-795-2113
Mailing address:
  • Phone: 325-795-2100
  • Fax: 325-795-2113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License NumberL2537
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberL2537
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: