Provider Demographics
NPI:1538203724
Name:PATEL, RAMESHBHAI G (MD)
Entity type:Individual
Prefix:DR
First Name:RAMESHBHAI
Middle Name:G
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RAMESH
Other - Middle Name:G
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4102 WOODLAWN AVE
Mailing Address - Street 2:STE 250
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-1947
Mailing Address - Country:US
Mailing Address - Phone:713-944-0124
Mailing Address - Fax:713-944-9877
Practice Address - Street 1:4102 WOODLAWN AVE
Practice Address - Street 2:STE 250
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1947
Practice Address - Country:US
Practice Address - Phone:713-944-0124
Practice Address - Fax:713-944-9877
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG0790207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX126442604Medicaid
TX060008540OtherRAILROAD MEDICARE
TX86Z750Medicare PIN
TX126442604Medicaid