Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | K1615 | TX |
NPI | 1194739342 |
---|---|
Provider Name | Dr. Mahendra C Patel |
First Address | San Antonio, TX 78229-3415 |
Second Address | San Antonio, TX 78229-3415 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 13/07/2007 |