Provider Demographics
NPI:1104313386
Name:PATEL, PALAK (PA-C)
Entity type:Individual
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First Name:PALAK
Middle Name:
Last Name:PATEL
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:6600 S YALE AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3331
Mailing Address - Country:US
Mailing Address - Phone:918-499-4855
Mailing Address - Fax:918-488-6098
Practice Address - Street 1:10505 E 91ST ST STE 208
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5829
Practice Address - Country:US
Practice Address - Phone:918-494-8500
Practice Address - Fax:918-307-5578
Is Sole Proprietor?:No
Enumeration Date:2018-04-13
Last Update Date:2024-12-06
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Provider Licenses
StateLicense IDTaxonomies
TXPA12842363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant