SHATISHKUMAR Y PATEL


Address: 8200 Wednesbury Ln, Suite 295, Houston, TX 77074-2925
Phone: 7135330995

SHATISHKUMAR Y PATEL (NPI# 1366450579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366450579
Entity Type Individual
Full Name SHATISHKUMAR Y PATEL
Credential M.D.
Practice Address 8200 Wednesbury Ln
Suite 295
Houston
TX 77074-2925
Practice Telephone 7135330995
Practice Fax Number 7137725475
Mailing Telephone 7135330995
Mailing Fax Number 7137725475
Enumeration Date 2006-08-03
Last Update Date 2009-03-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
L0495 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX RAILROAD MEDICARE DA5819 01
TX BC/BS 0039KJ 01
TX 148933802 05

Office Location

Street Address 8200 WEDNESBURY LN
SUITE 295
City HOUSTON
State TX
Zip Code 77074-2925

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NPI Name Taxonomy Address Enumeration
1710981113 Pankaj K Shah Internal Medicine 8200 Wednesbury Ln, Ste 300, Houston, TX 77074-2932 2005-06-13
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1720480775 Ever Bright Medical Clinic LLC General Practice 8200 Wednesbury Ln, Suite 405, Houston, TX 77074-2925 2014-09-22
1982049599 Bowon LLC Clinic/Center 8200 Wednesbury Ln, Suite 315, Houston, TX 77074-2925 2013-05-08
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1689947111 Ich Healthcare Pa Pain Medicine 8200 Wednesbury Ln, Suite 210, Houston, TX 77074-2925 2012-02-14
1669764387 Southland United Health Care Services Inc Home Health 8200 Wednesbury Ln, 225, Houston, TX 77074-2925 2011-05-13
1366774747 Domalapalli Maneesh Kumar Pediatrics 8200 Wednesbury Ln, Suite #112, Houston, TX 77074-2925 2010-02-09
1992038848 Dr. Kim-thu Chu, Md,pa Obstetrics & Gynecology 8200 Wednesbury Ln, Suite 225, Houston, TX 77074-2925 2009-09-10
1659519973 Sherri Tajudeen Ambulance 8200 Wednesbury Ln, Ste 365, Houston, TX 77074-2925 2009-01-23
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NPI Name Taxonomy Address Enumeration
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1588146922 Adebisi Lawrence Registered Nurse 8300 Bissonnet Suite 375, Houston, TX 77074 2018-09-01
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1114430329 Ogbuka Joseph Onwuchekwa Driver 9100 Southwest Freeway #219, Houston, TX 77074 2017-11-09
1164934501 Tiffany Danielle Miller Home Health Aide 7810 Nairn, Houston, TX 77074 2017-10-25
1295252625 Domain Living Centers LLC Case Manager/Care Coordinator 9800 Braburn Glen Blvd # 326, Houston, TX 77074 2017-08-25
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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1396217162 Houston Kidney Specialists Center Pllc Internal Medicine 13656 Breton Ridge St Ste A, Houston, TX 77070-6089 2018-12-18
1326524612 Greenhouse Vascular Access Center, LLC Internal Medicine 2222 Greenhouse Rd Ste 1500, Houston, TX 77084-7855 2018-07-19
1508375445 Sheila Mae Sanchez Internal Medicine 212 E Crosstimbers St Ste 170, Houston, TX 77022-4464 2017-09-22
1669993689 Pax Health Pllc Internal Medicine 1333 Old Spanish Trail, Ste G #369, Houston, TX 77054 2017-06-29
1942739123 Optimcurea LLC Internal Medicine 2440 D Charleston Street, Houston, TX 77021 2017-06-09
1467812586 Quynh Lam M.d. Pllc Internal Medicine 10080 Bellaire Blvd Ste 108, Houston, TX 77072-5429 2016-03-02
1457756827 Premier Care Physician Services Internal Medicine 9716 Linkmeadow Ln, Houston, TX 77025-5011 2014-10-28
1538588850 Samir Sahai, Md, Pllc Internal Medicine 7500 Beechnut St Ste 262, Houston, TX 77074-4311 2014-04-15
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City HOUSTON
Zip Code 77074

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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