Provider Demographics
NPI:1275350639
Name:PATEL, HIMA (PA)
Entity type:Individual
Prefix:
First Name:HIMA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4401 MCAULEY BLVD STE 2200
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-8561
Mailing Address - Country:US
Mailing Address - Phone:405-749-7023
Mailing Address - Fax:405-749-7025
Practice Address - Street 1:4401 MCAULEY BLVD STE 2200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8561
Practice Address - Country:US
Practice Address - Phone:405-749-7023
Practice Address - Fax:405-749-7025
Is Sole Proprietor?:No
Enumeration Date:2024-09-25
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK5334363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical