Provider Demographics
NPI:1861625949
Name:PATEL, RAKHI M (MD)
Entity type:Individual
Prefix:DR
First Name:RAKHI
Middle Name:M
Last Name:PATEL
Suffix:
Gender:F
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:PO BOX 840853
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0863
Mailing Address - Country:US
Mailing Address - Phone:972-715-5000
Mailing Address - Fax:972-233-3666
Practice Address - Street 1:1500 CITYWEST BLVD STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042
Practice Address - Country:US
Practice Address - Phone:713-620-4000
Practice Address - Fax:713-458-4229
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT047197207L00000X
WV24765207L00000X
TXP2754207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1861625949OtherUMWA
WV1861625949OtherWELLS FARGO (PEIA)
WV1861625949OtherHEALTHNET/TRICARE
WV9333201OtherMEDICARE GROUP
WVWV 52997OtherHEALTHPLAN OF OHIO UPPER VALLEY
WV002693918OtherHIGMARK OF WV
WV0207026000OtherMEDICAID GROUP
WV3810022639Medicaid
WV1861625949OtherCOVENTRY/CARELINK
WV9333201OtherMEDICARE GROUP