Provider Demographics
NPI:1326331299
Name:PATEL, BIMAL BHARATKUMAR (DO)
Entity Type:Individual
Prefix:
First Name:BIMAL
Middle Name:BHARATKUMAR
Last Name:PATEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7595 ANAGRAM DR
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-7399
Mailing Address - Country:US
Mailing Address - Phone:612-573-2200
Mailing Address - Fax:612-573-2250
Practice Address - Street 1:9700 N 91ST ST STE C200
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5064
Practice Address - Country:US
Practice Address - Phone:480-240-9738
Practice Address - Fax:480-425-4112
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ0083212085R0202X
IL1250608742085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology