Provider Demographics
NPI:1154611457
Name:PATEL, AATISH MUKESH (MD)
Entity type:Individual
Prefix:DR
First Name:AATISH
Middle Name:MUKESH
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 E SKELLY DR STE 700
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-3256
Mailing Address - Country:US
Mailing Address - Phone:918-481-4700
Mailing Address - Fax:
Practice Address - Street 1:4200 E SKELLY DR STE 700
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-3256
Practice Address - Country:US
Practice Address - Phone:918-481-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK28400207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology