Provider Demographics
NPI:1962106187
Name:DR. SONALI VIJESH PATEL MD PLLC
Entity type:Organization
Organization Name:DR. SONALI VIJESH PATEL MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONALI
Authorized Official - Middle Name:VIJESH
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-728-3143
Mailing Address - Street 1:876 MAGNOLIA AVE STE 876
Mailing Address - Street 2:
Mailing Address - City:PORT NECHES
Mailing Address - State:TX
Mailing Address - Zip Code:77651-3712
Mailing Address - Country:US
Mailing Address - Phone:409-722-8660
Mailing Address - Fax:409-722-8660
Practice Address - Street 1:876 MAGNOLIA AVE STE 876
Practice Address - Street 2:
Practice Address - City:PORT NECHES
Practice Address - State:TX
Practice Address - Zip Code:77651-3712
Practice Address - Country:US
Practice Address - Phone:409-729-3787
Practice Address - Fax:409-722-8660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty