Provider Demographics
NPI:1467453621
Name:PATEL, NILESH ARVIND (MD)
Entity type:Individual
Prefix:DR
First Name:NILESH
Middle Name:ARVIND
Last Name:PATEL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14603 HUEBNER RD BLDG 2
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5471
Mailing Address - Country:US
Mailing Address - Phone:210-695-1923
Mailing Address - Fax:800-520-2747
Practice Address - Street 1:14603 HUEBNER RD BLDG 2
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5471
Practice Address - Country:US
Practice Address - Phone:210-695-2757
Practice Address - Fax:800-520-2747
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2744208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD420733OtherMEDICAL LIC NUMBER
PA1010768840001Medicaid
PA1010768840001Medicaid
PAMD420733OtherMEDICAL LIC NUMBER
PA1010768840001Medicaid