Provider Demographics
NPI:1447269139
Name:PATEL, RANJAN S (MD)
Entity type:Individual
Prefix:MRS
First Name:RANJAN
Middle Name:S
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11226 S. WILCREST DR
Mailing Address - Street 2:IBN SINA COMMUNITY CLINIC
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099
Mailing Address - Country:US
Mailing Address - Phone:281-977-7462
Mailing Address - Fax:
Practice Address - Street 1:11226 S WILCREST DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-4313
Practice Address - Country:US
Practice Address - Phone:281-977-7462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF 6069207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX03-47395-01Medicaid
TXC-20282Medicare UPIN
TX00LN77Medicare ID - Type Unspecified