Provider Demographics
NPI:1962997791
Name:PATEL, PRIYADARSHEE YOGESH (MD)
Entity type:Individual
Prefix:
First Name:PRIYADARSHEE
Middle Name:YOGESH
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2727 HEARNE AVE STE 320
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71103-3917
Mailing Address - Country:US
Mailing Address - Phone:318-212-6797
Mailing Address - Fax:318-212-6822
Practice Address - Street 1:2727 HEARNE AVE STE 320
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71103-3917
Practice Address - Country:US
Practice Address - Phone:318-212-6797
Practice Address - Fax:318-212-6822
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-25
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT215740207R00000X
PAMD4783262084V0102X
LA3463652084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine