Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Chinmay P Patel, MD

Individual provider Nephrology Physician · NPI 1164713095

Dr. Chinmay P Patel, MD is a Nephrology in Longview, Texas. Qualified in 2006, 20 years ago. Practices with Southern Kidney Associates PLLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and Texas.

Years since qualifying
20
Licensed in
LA, TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3535 N Fourth St Ste 301
Longview, TX 75605-0037
Phone: (903) 234-9992
Fax: (903) 234-8287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1815 E 70th St, Shreveport, LA 71105-5301 — (800) 276-9017

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence S7930 (TX)
Nephrology Physician Taxonomy 207RN0300X · Licence 324047 (LA)

Record details

NPI number1164713095
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2011
Last updated in NPPESOctober 8, 2021
Certification dateOctober 8, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Southern Kidney Associates Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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