| Imran K Patel Md Pa | |
|
6741 Audubon Trl Fort Worth TX 76132-3081 | |
| (817) 375-5556 | |
| Not Available |
| Full Name | Imran K Patel Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6741 Audubon Trl, Fort Worth, Texas |
| Authorized Official Name and Position | Imran K Patel (OWNER) |
| Authorized Official Contact | 8173755556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imran K Patel Md Pa 6741 Audubon Trl Fort Worth TX 76132-3081 Ph: (817) 375-5556 | Imran K Patel Md Pa 6741 Audubon Trl Fort Worth TX 76132-3081 Ph: (817) 375-5556 |
| NPI Number | 1487015319 |
|---|---|
| Provider Enumeration Date | 03/21/2016 |
| Last Update Date | 06/15/2016 |
| Medicare PECOS PAC ID | 7214235720 |
|---|---|
| Medicare Enrollment ID | O20160418001028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487015319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | M0522 (Texas) | Primary |
| Provider Name | Imran A Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922028125 PECOS PAC ID: 3678527843 Enrollment ID: I20050310000223 |
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