Provider Demographics
NPI:1538831805
Name:ABHISHEK PATEL DO PLLC
Entity type:Organization
Organization Name:ABHISHEK PATEL DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABHISHEK
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:732-744-6293
Mailing Address - Street 1:3607 S LAMAR BLVD APT 1542
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-0394
Mailing Address - Country:US
Mailing Address - Phone:732-744-6293
Mailing Address - Fax:
Practice Address - Street 1:3607 S LAMAR BLVD APT 1542
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-0394
Practice Address - Country:US
Practice Address - Phone:732-744-6293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty