Provider Demographics
NPI:1588154975
Name:PATEL, HERSCHEL BHASKAR
Entity type:Individual
Prefix:
First Name:HERSCHEL
Middle Name:BHASKAR
Last Name:PATEL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 N WASHINGTON AVE STE 7000
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1791
Mailing Address - Country:US
Mailing Address - Phone:214-826-0501
Mailing Address - Fax:
Practice Address - Street 1:411 N WASHINGTON AVE STE 7000
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1791
Practice Address - Country:US
Practice Address - Phone:214-826-3681
Practice Address - Fax:214-826-7277
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-11
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU96282086X0206X, 2086X0206X
NE35644207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Multi-Specialty
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Single Specialty