Provider Demographics
NPI:1407827223
Name:PATEL, BHARAT SOMABHAI (MD)
Entity Type:Individual
Prefix:DR
First Name:BHARAT
Middle Name:SOMABHAI
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 1:36 CALLE ALMEJA
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-6837
Mailing Address - Country:US
Mailing Address - Phone:949-369-1790
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL DEPARTMENT
Practice Address - Street 2:USS BONHOMME RICHARD LHD-6 FPO AP 96617-1656
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:96617-1656
Practice Address - Country:US
Practice Address - Phone:619-556-4771
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI34866-020207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine