Basic Information
| Provider Information | |||||||||
| NPI: | 1295266625 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MILAN R PATEL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3550 NORMAND DR | ||||||||
| Address2: | |||||||||
| City: | COLLEGE STATION | ||||||||
| State: | TX | ||||||||
| PostalCode: | 778456399 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9797038848 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3550 NORMAND DR | ||||||||
| Address2: | |||||||||
| City: | COLLEGE STATION | ||||||||
| State: | TX | ||||||||
| PostalCode: | 778456399 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9797038848 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2017 | ||||||||
| LastUpdateDate: | 03/27/2017 | ||||||||
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| AuthorizedOfficialLastName: | PATEL | ||||||||
| AuthorizedOfficialFirstName: | MILAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | MD | ||||||||
| AuthorizedOfficialTelephone: | 9797098848 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.