MEDICARE: MR. MANEESH NATVARLAL 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	MD061924L	PA
2	207R00000X	Internal Medicine Physician	K4520	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	110179273	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	0066CR	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1750492088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MANEESH NATVARLAL PATEL MD

Provider Business Mailing Address
First Line	:	11717 HIGHLAND MEADOW DR #300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6830
Country	:	US
Telephone Number	:	281-464-6042
Fax Number	:	281-464-6706

Provider Business Practice Location Address
First Line	:	11717 HIGHLAND MEADOW DR #300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6830
Country	:	US
Telephone Number	:	281-464-6042
Fax Number	:	281-464-6706

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	04/13/2020

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Directions to “ MR. MANEESH NATVARLAL PATEL MD” Practice Location

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