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NPI Code Detail

MEDICARE: SHIVANGI R PATEL M.ED

MEDICARE:   SHIVANGI R PATEL  M.ED
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
1101Y00000XCounselor65880TX

General Provider Information

NPI Number : 1518243906
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIVANGI R PATEL M.ED
Provider Business Mailing Address
First Line : 13030 SUPERIOR DR
Second Line :
City : FRISCO
State : TX
Zip : 75033-1030
Country : US
Telephone Number : 817-881-3486
Fax Number :
Provider Business Practice Location Address
First Line : 5601 DEMOCRACY DR STE 255
Second Line :
City : PLANO
State : TX
Zip : 75024-3699
Country : US
Telephone Number : 940-765-9029
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2011
Last Update Date : 04/29/2024

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Directions to “ SHIVANGI R PATEL M.ED” Practice Location

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