Healthcare Provider Details

I. General information

NPI: 1669728028
Provider Name (Legal Business Name): RIDDHIBEN S PATEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2012
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 MEDICAL PKWY STE 300
CEDAR PARK TX
78613-2529
US

IV. Provider business mailing address

7940 SHOAL CREEK BLVD STE 100
AUSTIN TX
78757-7589
US

V. Phone/Fax

Practice location:
  • Phone: 512-494-4000
  • Fax: 512-494-4045
Mailing address:
  • Phone: 512-494-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301100123
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number23729
License Number StateMS
# 3
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberT6009
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: