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Physician Compare National (NPI:1689692477)

HEALTHCARE PROVIDER: SHREEKANT N PATOLIA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1689692477
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1850490392
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20080603000697
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name PATOLIA
Individual professional last name
Provider First Name SHREEKANT
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1986
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 1315 ST JOSEPH PKWY
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 1200
Group Practice or individual's line 2 address
City HOUSTON
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 770028235
Group Practice or individual's zip code (9 digits when available)
Phone Number 7137568707
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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