Provider Demographics
NPI:1164653812
Name:PATEL, SUNITI DILIPBHAI (DPM)
Entity type:Individual
Prefix:DR
First Name:SUNITI
Middle Name:DILIPBHAI
Last Name:PATEL
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 BLOSSOM ST
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4236
Mailing Address - Country:US
Mailing Address - Phone:832-317-6117
Mailing Address - Fax:832-772-7201
Practice Address - Street 1:560 BLOSSOM ST
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4236
Practice Address - Country:US
Practice Address - Phone:832-317-6117
Practice Address - Fax:832-772-7201
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1989213ES0103X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery