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NPI Code Detail

MEDICARE: DR. ROMA P. PATEL M.D.

MEDICARE: DR. ROMA P. PATEL M.D.
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
1207W00000XOphthalmology Physician201401049NC
2207W00000XOphthalmology PhysicianT1806TX
3207WX0009XGlaucoma Specialist (Ophthalmology) PhysicianT1806TX
4207W00000XOphthalmology PhysicianA119582CA

General Provider Information

NPI Number : 1063724797
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROMA P. PATEL M.D.
Provider Business Mailing Address
First Line : 4146 GRAMERCY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77025-1111
Country : US
Telephone Number : 832-752-6588
Fax Number :
Provider Business Practice Location Address
First Line : 1799 KIRBY DR STE 140
Second Line :
City : PEARLAND
State : TX
Zip : 77584-5624
Country : US
Telephone Number : 713-965-4468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2010
Last Update Date : 04/22/2026

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