MEDICARE: RADHIKA NILESH PATEL OD

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	152W00000X	Optometrist	10204	TX

General Provider Information

NPI Number	:	1982236691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RADHIKA NILESH PATEL OD

Provider Business Mailing Address
First Line	:	3114 NORMANDY DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-4733
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 N CENTRAL EXPY STE 104B
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-6866
Country	:	US
Telephone Number	:	972-424-2019
Fax Number	:

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

Provider Enumeration Date	:	02/10/2020
Last Update Date	:	03/05/2026

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