MEDICARE: RAINA 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
1	207R00000X	Internal Medicine Physician	K7198	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04-32947	OTHER		EVERCARE
2	8V8100	OTHER		BCBS TX

General Provider Information

NPI Number	:	1144224544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAINA PATEL MD

Provider Business Mailing Address
First Line	:	5730 EXECUTIVE DR STE 230
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-1762
Country	:	US
Telephone Number	:	281-249-7100
Fax Number	:	281-249-7365

Provider Business Practice Location Address
First Line	:	14703 EAGLE VISTA DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-5275
Country	:	US
Telephone Number	:	281-249-7100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	03/13/2023

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Directions to “ RAINA PATEL MD” Practice Location

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