Provider Demographics
NPI:1538596168
Name:RAKHI PATEL OD PA
Entity type:Organization
Organization Name:RAKHI PATEL OD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAKHI
Authorized Official - Middle Name:RAMESH
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-970-6900
Mailing Address - Street 1:9105 W SAM HOUSTON PKWY N
Mailing Address - Street 2:800
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-6309
Mailing Address - Country:US
Mailing Address - Phone:281-970-6900
Mailing Address - Fax:
Practice Address - Street 1:9105 W SAM HOUSTON PKWY N
Practice Address - Street 2:800
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-6309
Practice Address - Country:US
Practice Address - Phone:281-970-6900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-27
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8298TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
4R190Medicare UPIN