Provider Demographics
NPI:1477033389
Name:PATEL, BHADRESHKUMAR H (NP STUDENT)
Entity Type:Individual
Prefix:
First Name:BHADRESHKUMAR
Middle Name:H
Last Name:PATEL
Suffix:
Gender:M
Credentials:NP STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2260 MORSE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-5858
Mailing Address - Country:US
Mailing Address - Phone:614-702-7899
Mailing Address - Fax:614-706-1570
Practice Address - Street 1:2260 MORSE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-5858
Practice Address - Country:US
Practice Address - Phone:614-702-7899
Practice Address - Fax:614-706-1570
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH388067163WM0705X
OH025184363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical