Prabhu B. Patil,M.D.,P.a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E4918 Issued in TX

Legal business name

PRABHU B. PATIL,M.D.,P.A

Practice address

150 W Parker Rd
Ste. 704
Houston, TX 77076-2951

Phone

(713) 697-7166

Fax

(713) 697-7606

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Prabhu B Patil, M.D.,P.A.

Title

Owner

Phone

(713) 697-7166

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1467474593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W PARKER RD",
            "address_2": "STE. 704",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770762951",
            "telephone_number": "713-697-7166",
            "fax_number": "713-697-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W PARKER RD",
            "address_2": "STE. 704",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770762951",
            "telephone_number": "713-697-7166",
            "fax_number": "713-697-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRABHU B. PATIL,M.D.,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "PATIL",
        "authorized_official_first_name": "PRABHU",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-697-7166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,P.A."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E4918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152148601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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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 Sep 23, 2010; 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.