Provider Demographics
NPI:1871941393
Name:PATEL, MILAN R (BOARD ELIGIBLE PO)
Entity type:Individual
Prefix:MR
First Name:MILAN
Middle Name:R
Last Name:PATEL
Suffix:
Gender:M
Credentials:BOARD ELIGIBLE PO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 W BELLFORT AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-5099
Mailing Address - Country:US
Mailing Address - Phone:713-349-8117
Mailing Address - Fax:409-763-6863
Practice Address - Street 1:2525 W BELLFORT AVE STE 150
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-5099
Practice Address - Country:US
Practice Address - Phone:713-349-8117
Practice Address - Fax:713-349-8433
Is Sole Proprietor?:No
Enumeration Date:2016-05-25
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1661222Z00000X, 224P00000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist