MEDICARE: DR. PRAPTI ARVIND 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	207RH0003X	Hematology & Oncology Physician	N3976	TX
2	207R00000X	Internal Medicine Physician	N3976	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2005015802	OTHER	MO	STATE LICENSE NUMBER
2	N3976	OTHER	TX	STATE LISCENSE NUMBER

General Provider Information

NPI Number	:	1417179391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRAPTI ARVIND PATEL M.D.

Provider Business Mailing Address
First Line	:	2201 INWOOD RD
Second Line	:	NC8.106
City	:	DALLAS
State	:	TX
Zip	:	75235-7320
Country	:	US
Telephone Number	:	214-450-1722
Fax Number	:	214-648-4152

Provider Business Practice Location Address
First Line	:	2201 INWOOD RD
Second Line	:	NC8.106
City	:	DALLAS
State	:	TX
Zip	:	75235-7320
Country	:	US
Telephone Number	:	214-450-1722
Fax Number	:	214-648-4152

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

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	12/01/2011

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