Bay Area Geriatrics Association

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L4633 Issued in TX

Legal business name

BAY AREA GERIATRICS ASSOCIATION

Practice address

11920 Astoria Blvd
Suite 280
Houston, TX 77089-6097

Phone

(281) 464-8988

Fax

(281) 464-7744

NPI assigned

Aug 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mukesh R Patel, MD

Title

President

Phone

(281) 464-8988

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BAY AREA MEDICAL CLINIC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1265545263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11920 ASTORIA BLVD",
            "address_2": "SUITE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896097",
            "telephone_number": "281-464-8988",
            "fax_number": "281-464-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11920 ASTORIA BLVD",
            "address_2": "SUITE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896097",
            "telephone_number": "281-464-8988",
            "fax_number": "281-464-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA GERIATRICS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MUKESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-464-8988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L4633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159387301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAY AREA MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.