| Rajesh J Patel, M.d., P.a. | |
|
601 Golder Ave Suite B Odessa TX 79761-4412 | |
| (432) 580-8000 | |
| Not Available |
| Full Name | Rajesh J Patel, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 601 Golder Ave, Odessa, Texas |
| Authorized Official Name and Position | Rajesh J Patel (PRESIDENT, RAJESH J PATEL,M.D., PA.) |
| Authorized Official Contact | 4325808000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rajesh J Patel, M.d., P.a. Po Box 3942 Odessa TX 79760-3942 Ph: (432) 580-8000 | Rajesh J Patel, M.d., P.a. 601 Golder Ave Suite B Odessa TX 79761-4412 Ph: (432) 580-8000 |
| NPI Number | 1992977284 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 10/22/2013 |
| Medicare PECOS PAC ID | 5698685188 |
|---|---|
| Medicare Enrollment ID | O20080805000854 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992977284 | NPI | - | NPPES |
| 136462206 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G9782 (Texas) | Primary |
| Provider Name | Rajesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245230622 PECOS PAC ID: 2264342765 Enrollment ID: I20070702000181 |
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