Individual ProviderRadha Patel McnicholasPediatricsAllopathic & Osteopathic PhysiciansPractice Address1935 Medical District Dr, Dallas, TX 75235-7701(844) 424-4537(678) 756-5029PECOS EnrollmentBased on the most recent information from CMS, provider Radha Patel Mcnicholas does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1699352328Provider TypeIndividualFull NameMcnicholas, Radha PatelTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/27/2021Last Updated5/22/2025Contact InformationPractice LocationPractice Address1935 Medical District Dr, Dallas, TX 75235-7701Phone(844) 424-4537FaxUnlisted FaxMailing LocationMailing Address1935 Medical District Dr, Dallas, TX 75235-7701Phone(678) 756-5029FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseV0102TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer