MEDICARE: DR. HENYKUMAR D 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	81615	MN
2	207R00000X	Internal Medicine Physician	S0768	TX
3	207R00000X	Internal Medicine Physician	80150	AZ
4	208M00000X	Hospitalist Physician	S0768	TX

General Provider Information

NPI Number	:	1851754550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HENYKUMAR D PATEL MD

Provider Business Mailing Address
First Line	:	200 CORPORATE BLVD
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-3870
Country	:	US
Telephone Number	:	800-893-9698
Fax Number	:

Provider Business Practice Location Address
First Line	:	3615 19TH ST
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79410-1209
Country	:	US
Telephone Number	:	781-472-9380
Fax Number	:

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

Provider Enumeration Date	:	03/30/2016
Last Update Date	:	03/18/2026

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