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NPI Code Detail

MEDICARE: DR. PAYAL PATEL MD

MEDICARE: DR. PAYAL PATEL MD
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
1207P00000XEmergency Medicine PhysicianV7991TX
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1023704608
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAYAL PATEL MD
Provider Business Mailing Address
First Line : 1600 HOSPITAL PKWY
Second Line :
City : BEDFORD
State : TX
Zip : 76022-6913
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5323 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-7201
Country : US
Telephone Number : 214-648-3916
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2023
Last Update Date : 06/17/2026

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