1417179391 NPI number — DR. PRAPTI ARVIND PATEL M.D.

Table of content: MR. JOHN MOSER RHODES PT, LAC (NPI 1518964279)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417179391 NPI number — DR. PRAPTI ARVIND PATEL M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PATEL
Provider First Name:
PRAPTI
Provider Middle Name:
ARVIND
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417179391
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/01/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2201 INWOOD RD
Provider Second Line Business Mailing Address:
NC8.106
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75235-7320
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-450-1722
Provider Business Mailing Address Fax Number:
214-648-4152

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2201 INWOOD RD
Provider Second Line Business Practice Location Address:
NC8.106
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75235-7320
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-450-1722
Provider Business Practice Location Address Fax Number:
214-648-4152
Provider Enumeration Date:
05/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RH0003X , with the licence number:  N3976 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207R00000X , with the licence number: N3976 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2005015802 . This is a "STATE LICENSE NUMBER" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: N3976 . This is a "STATE LISCENSE NUMBER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com