Provider Demographics
NPI:1053416453
Name:PATEL, KIRANCHANDRA MAGANLAL (MD)
Entity type:Individual
Prefix:DR
First Name:KIRANCHANDRA
Middle Name:MAGANLAL
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:9235 KATY FWY
Mailing Address - Street 2:STE 400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1507
Mailing Address - Country:US
Mailing Address - Phone:713-461-2915
Mailing Address - Fax:713-932-0437
Practice Address - Street 1:15419 ROCKY OAK CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77059-3128
Practice Address - Country:US
Practice Address - Phone:713-436-9800
Practice Address - Fax:713-436-5551
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK6680207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX043657804Medicaid
8A0473Medicare ID - Type Unspecified