Active NPI
Darshan R Phatak, M.D.
- Forensic Pathology Physician
- Houston, TX
National Provider Identifier
1003946542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- M4445
- Practice address
- 1885 Old Spanish Trail
Harris County Medical Examiner
Houston, TX 77054 - Phone
- (713) 796-6776
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | 223427 | MA | |
| Forensic Pathology Physician | 207ZF0201X | M4445 | TX | Primary |
Addresses
Primary practice location
1885 Old Spanish Trail
Harris County Medical Examiner
Houston, TX 77054
Mailing address
2255 Braeswood Park Dr
Apartment #221
Houston, TX 77030-4454
Phone (713) 796-6776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223427 | MA | MD | Forensic Pathology Physician |
| M4445 | TX | MD | Forensic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003946542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 BRAESWOOD PARK DR",
"address_2": "APARTMENT #221",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304454",
"telephone_number": "713-796-6776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 OLD SPANISH TRAIL",
"address_2": "HARRIS COUNTY MEDICAL EXAMINER",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77054",
"telephone_number": "713-796-6776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHATAK",
"first_name": "DARSHAN",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "MA",
"license": "223427",
"primary": false
},
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "TX",
"license": "M4445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.