DIVYANSU DHIRENDRA PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

DIVYANSU

Middle

DHIRENDRA

Last Name

PATEL

Business Name

DIVYANSU DHIRENDRA PATEL MD

Original Issue Date

07/10/2023

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

AUSTIN

State

Zip

78758

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023