Provider Demographics
NPI:1407078298
Name:PATEL, BIPIN D (MD)
Entity Type:Individual
Prefix:DR
First Name:BIPIN
Middle Name:D
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:PO BOX 7001
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91357-7001
Mailing Address - Country:US
Mailing Address - Phone:818-888-7815
Mailing Address - Fax:818-715-1722
Practice Address - Street 1:9508 STOCKDALE HWY
Practice Address - Street 2:SUITE 140A
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3622
Practice Address - Country:US
Practice Address - Phone:661-847-7246
Practice Address - Fax:661-847-5273
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC50311207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C503112OtherBLUE CROSS BLUE SHIELD
CA00C503112OtherBLUE CROSS BLUE SHIELD
CABG508ZMedicare PIN