MEDICARE: AMIT M. 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
1	207N00000X	Dermatology Physician	49835	AZ
2	207N00000X	Dermatology Physician	A122941	CA
3	207N00000X	Dermatology Physician	Q8995	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Q8995	OTHER	TX	TEXAS MEDICAL LIC

General Provider Information

NPI Number	:	1346553120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIT M. PATEL M.D.

Provider Business Mailing Address
First Line	:	8525 9TH AVE
Second Line	:
City	:	PORT ARTHUR
State	:	TX
Zip	:	77642-8023
Country	:	US
Telephone Number	:	409-729-2262
Fax Number	:	409-729-2449

Provider Business Practice Location Address
First Line	:	8525 9TH AVE
Second Line	:
City	:	PORT ARTHUR
State	:	TX
Zip	:	77642-8023
Country	:	US
Telephone Number	:	409-729-2262
Fax Number	:	409-729-2449

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

Provider Enumeration Date	:	07/21/2010
Last Update Date	:	01/27/2025

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Directions to “ AMIT M. PATEL M.D.” Practice Location

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