MEDICARE: VIPULKUMAR G. PATEL, M.D., P.A.

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		TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DG1973	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3028424	OTHER	TX	AETNA
3	00867F	OTHER	TX	BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	9501450	OTHER	TX	CIGNA HEALTHCARE

General Provider Information

NPI Number	:	1548266570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIPULKUMAR G. PATEL, M.D., P.A.

Provider Business Mailing Address
First Line	:	PO BOX 58233
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-8233
Country	:	US
Telephone Number	:	281-534-8800
Fax Number	:	281-534-8826

Provider Business Practice Location Address
First Line	:	3828 HUGHES CT
Second Line	:	STE 105
City	:	DICKINSON
State	:	TX
Zip	:	77539-6235
Country	:	US
Telephone Number	:	281-534-8800
Fax Number	:	281-534-8826

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VIPULKUMAR G. PATEL
Credential	:	M.D.
Telephone Number	:	281-534-8814

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	07/21/2022

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