MEDICARE: MANOJ K 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	K8411	TX

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

General Provider Information

NPI Number	:	1831176221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANOJ K PATEL MD

Provider Business Mailing Address
First Line	:	2281 OLYMPIA DR
Second Line	:	STE 100
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-1857
Country	:	US
Telephone Number	:	469-322-0089
Fax Number	:	972-852-7963

Provider Business Practice Location Address
First Line	:	2281 OLYMPIA DR
Second Line	:	STE 100
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-1857
Country	:	US
Telephone Number	:	469-322-0089
Fax Number	:	972-852-7963

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

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	06/10/2026

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