NPI Details
Stavan Yogendra Patel, DDS, MD is an oral maxillofacial surgery in Shreveport, LA with 16 years of experience. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. Stavan Yogendra Patel, DDS, MD NPI is 1558688309. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF DENTAL MEDICINE
Graduation Year:2010
The provider's business location address is:
2508 BERT KOUNS INDUSTRIAL LOOP STE 410
SHREVEPORT, LA
ZIP 71118-157
Phone: (318) 212-5944
Fax: (318) 212-5949
The NPI 1558688309 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 5/3/2010 and was last updated on 11/21/2024.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 204E00000X | Oral & Maxillofacial Surgery | | U0177 | TEXAS | No |
| 2 | 204E00000X | Oral & Maxillofacial Surgery | | MD.302913 | LOUISIANA | Yes |
