Provider Demographics
NPI:1245245984
Name:BECKLEY MEDICAL IMAGING INC.
Entity Type:Organization
Organization Name:BECKLEY MEDICAL IMAGING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BHARAT
Authorized Official - Middle Name:P
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-645-4043
Mailing Address - Street 1:PO BOX 941
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25802-0941
Mailing Address - Country:US
Mailing Address - Phone:304-255-0419
Mailing Address - Fax:304-645-4713
Practice Address - Street 1:306 STANAFORD RD
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-3142
Practice Address - Country:US
Practice Address - Phone:304-255-0419
Practice Address - Fax:304-645-4713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV186612085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1191193OtherCHA HEALTH
WV3810005478Medicaid
82031OtherCARELINK
DE5053OtherRAILROAD MEDICARE
2138876OtherUNITED HEALTHCARE/MAMSI
DE5053OtherRAILROAD MEDICARE
2138876OtherUNITED HEALTHCARE/MAMSI
WV=========00OtherWV W/COMP
WV3810005478Medicaid