Provider Demographics
NPI:1932425196
Name:PATEL, VIRESH YOGESH (MD)
Entity type:Individual
Prefix:DR
First Name:VIRESH
Middle Name:YOGESH
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12120 JONES RD STE D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-5280
Mailing Address - Country:US
Mailing Address - Phone:832-678-8252
Mailing Address - Fax:832-687-8253
Practice Address - Street 1:12120 JONES RD STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5280
Practice Address - Country:US
Practice Address - Phone:832-678-8252
Practice Address - Fax:832-687-8253
Is Sole Proprietor?:No
Enumeration Date:2010-04-13
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXQ0534207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program