| Prabhu B. Patil,m.d.,p.a | |
|
150 W Parker Rd Ste. 704 Houston TX 77076-2951 | |
| (713) 697-7166 | |
| (713) 697-7606 |
| Full Name | Prabhu B. Patil,m.d.,p.a |
|---|---|
| Speciality | Internal Medicine |
| Location | 150 W Parker Rd, Houston, Texas |
| Authorized Official Name and Position | Prabhu B Patil (OWNER) |
| Authorized Official Contact | 7136977166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prabhu B. Patil,m.d.,p.a 150 W Parker Rd Ste. 704 Houston TX 77076-2951 Ph: (713) 697-7166 | Prabhu B. Patil,m.d.,p.a 150 W Parker Rd Ste. 704 Houston TX 77076-2951 Ph: (713) 697-7166 |
| NPI Number | 1467474593 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 09/23/2010 |
| Medicare PECOS PAC ID | 0244362481 |
|---|---|
| Medicare Enrollment ID | O20100723000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467474593 | NPI | - | NPPES |
| 152148601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E4918 (Texas) | Primary |
| Provider Name | Prabhugouda B Patil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619157492 PECOS PAC ID: 2365400017 Enrollment ID: I20050815000310 |
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