Organization Active NPI

Rajesh J Patel, M.D., P.a.

  • Internal Medicine Physician
  • Odessa, TX
National Provider Identifier
1992977284
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G9782 Issued in TX
Legal business name
RAJESH J PATEL, M.D., P.A.
Practice address
601 Golder Ave
Suite B
Odessa, TX 79761-4412
Phone
(432) 580-8000
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Dr. Rajesh J Patel, M.D.
Title
President, Rajesh J Patel,M.D., PA.
Phone
(432) 580-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G9782 TX Primary

Addresses

Primary practice location

601 Golder Ave
Suite B
Odessa, TX 79761-4412

Mailing address

PO Box 3942
Odessa, TX 79760-3942
Phone (432) 580-8000

Other identifiers 1

IdentifierTypeStateIssuer
136462206MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1992977284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3942",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797603942",
            "telephone_number": "432-580-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GOLDER AVE",
            "address_2": "SUITE B",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614412",
            "telephone_number": "432-580-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJESH J PATEL, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT, RAJESH J PATEL,M.D., PA.",
        "authorized_official_telephone_number": "432-580-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G9782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136462206",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.