Basic Information
Provider Information | |||||||||
NPI: | 1104249085 | ||||||||
EntityType: | 2 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: | NATIONAL IN-HOSPITAL PHYSICIANS ASSOCIATES PLLC | ||||||||
LastName: |   | ||||||||
FirstName: |   | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | PO BOX 4656 | ||||||||
Address2: |   | ||||||||
City: | TROY | ||||||||
State: | MI | ||||||||
PostalCode: | 480994656 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8669860596 | ||||||||
FaxNumber: | 8668966039 | ||||||||
Practice Location | |||||||||
Address1: | 5503 MIRAMAR LN | ||||||||
Address2: |   | ||||||||
City: | COLLEYVILLE | ||||||||
State: | TX | ||||||||
PostalCode: | 760345557 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8669860596 | ||||||||
FaxNumber: | 8668696039 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 01/28/2014 | ||||||||
LastUpdateDate: | 02/10/2014 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: |   | ||||||||
AuthorizedOfficialLastName: | PATEL | ||||||||
AuthorizedOfficialFirstName: | NADEEM | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: | MANANAGING MEMBER | ||||||||
AuthorizedOfficialTelephone: | 8173131149 | ||||||||
IsSoleProprietor: |   | ||||||||
IsOrganizationSubpart: | N | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: | DR. | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: | MD | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | K0153 | TX | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Hospitalist |   |
No ID Information.