Provider Demographics
NPI:1538188941
Name:PATEL, ANILKUMAR R (MD)
Entity type:Individual
Prefix:
First Name:ANILKUMAR
Middle Name:R
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4116 W SPRING CREEK PKWY STE 400C
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-5238
Mailing Address - Country:US
Mailing Address - Phone:469-983-5000
Mailing Address - Fax:469-983-5555
Practice Address - Street 1:4116 W SPRING CREEK PKWY STE 400C
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5238
Practice Address - Country:US
Practice Address - Phone:469-983-5000
Practice Address - Fax:469-983-5555
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2004207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX175876502Medicaid
TX175876501Medicaid
TX8D8538Medicare ID - Type Unspecified
TX175876501Medicaid
TX175876502Medicaid