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General NPI Number Information
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NPI Number | 1679265441
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Entity Type | Organization
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Legal Business Name | PATEL PSYCHIATRY, LLC
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 603 S TYLER ST
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City | COVINGTON
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State | LA
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Zip | 70433-3345
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Country | US
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Telephone | 985-333-1313
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Fax |
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Provider Business Mailing Address
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Address Line | 603 S TYLER ST
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City | COVINGTON
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State | LA
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Zip | 70433-3345
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SAVANNAH HOLLOWAY PATEL
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Credential | MD
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Telephone | 985-516-6956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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