Provider Demographics
NPI:1285945816
Name:PATEL, SITAL (DO)
Entity type:Individual
Prefix:
First Name:SITAL
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SITAL
Other - Middle Name:
Other - Last Name:SAMPAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2559 WESTERN TRAILS BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1569
Mailing Address - Country:US
Mailing Address - Phone:512-815-2559
Mailing Address - Fax:
Practice Address - Street 1:2559 WESTERN TRAILS BLVD STE 301
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1569
Practice Address - Country:US
Practice Address - Phone:512-815-2559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ0992207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology