Provider Demographics
NPI:1093906174
Name:PATEL, BHARAT (MD)
Entity Type:Individual
Prefix:DR
First Name:BHARAT
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-2720
Mailing Address - Country:US
Mailing Address - Phone:203-847-2600
Mailing Address - Fax:
Practice Address - Street 1:235 MAIN AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-2720
Practice Address - Country:US
Practice Address - Phone:203-847-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT021922CT207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
789859OtherCONNECTICARE
7242622OtherAETNA
3134633002OtherCIGNA
CO3240OtherMEDICARE
24440555OtherUNITED HEALTH CARE
2V5977OtherHEALTHNET
P3486218OtherOXFORD
68WLKN026CT01OtherANTHEM BCBS
2V5977OtherHEALTHNET
789859OtherCONNECTICARE