MEDICARE: NADEEM PATEL M.D.

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	K0153	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	:	1902809486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADEEM PATEL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 4656
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48099-4656
Country	:	US
Telephone Number	:	866-986-0596
Fax Number	:	866-896-6039

Provider Business Practice Location Address
First Line	:	609 MEDICAL CENTER DR
Second Line	:
City	:	DECATUR
State	:	TX
Zip	:	76234-3836
Country	:	US
Telephone Number	:	940-626-2430
Fax Number	:	940-626-2431

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	03/07/2014

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Directions to “ NADEEM PATEL M.D.” Practice Location

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