Provider Demographics
NPI:1871163071
Name:PATEL, RUTUL DASHARATHLAL (MD)
Entity type:Individual
Prefix:
First Name:RUTUL
Middle Name:DASHARATHLAL
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:TTUHSC EL PASO
Mailing Address - Street 2:2000B TRANSMOUNTAIN ROAD, SUITE 400I
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79911-3600
Mailing Address - Country:US
Mailing Address - Phone:915-215-8495
Mailing Address - Fax:915-215-8671
Practice Address - Street 1:TTUHSC EL PASO
Practice Address - Street 2:2000B TRANSMOUNTAIN ROAD, SUITE 400I
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79911-3600
Practice Address - Country:US
Practice Address - Phone:915-215-8495
Practice Address - Fax:915-215-8671
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2024-11-19
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Provider Licenses
StateLicense IDTaxonomies
TN70739207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine