Provider Demographics
NPI:1346771888
Name:PATEL, NIKESH
Entity type:Individual
Prefix:
First Name:NIKESH
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5161 HARRY HINES BLVD CS6.102
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-8860
Mailing Address - Country:US
Mailing Address - Phone:214-648-0592
Mailing Address - Fax:214-645-2558
Practice Address - Street 1:5151 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-2072
Practice Address - Country:US
Practice Address - Phone:214-645-2225
Practice Address - Fax:469-645-8451
Is Sole Proprietor?:No
Enumeration Date:2017-03-26
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A17182208100000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program