Individual ProviderShruti PatelFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address5001 Evergreen St, Bellaire, TX 77401-5014(281) 818-4884PECOS EnrollmentBased on the most recent information from CMS, provider Shruti Patel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1447468772Provider TypeIndividualFull NamePatel, ShrutiCredentialMDGenderFemaleSole ProprietorYesEnumeration Date5/18/2007Last Updated1/6/2015Contact InformationPractice LocationPractice Address5001 Evergreen St, Bellaire, TX 77401-5014Phone(281) 818-4884FaxUnlisted FaxMailing LocationMailing Address5001 Evergreen St, Bellaire, TX 77401-5014PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicensePS950TexasCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense4301087614Michigan