Provider Demographics
NPI:1336298413
Name:PATEL, BHARAT G (MD)
Entity Type:Individual
Prefix:DR
First Name:BHARAT
Middle Name:G
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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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:304-553-3964
Mailing Address - Fax:681-207-1811
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:304-553-3964
Practice Address - Fax:681-207-1811
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV186612085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV00356867OtherBCBS
WV0122573000Medicaid
WV82031OtherCARELINK
300090115OtherRAILROAD MEDICARE
020076000OtherFEDERAL BLACK LUNG
WV1191193OtherCHA
WV55075925700OtherWORKERS COMP