Provider Demographics
NPI:1528197647
Name:PATEL, BIPIN L (MD)
Entity Type:Individual
Prefix:
First Name:BIPIN
Middle Name:L
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9990 COUNTY FARM RD
Mailing Address - Street 2:SUITE - 1
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-3542
Mailing Address - Country:US
Mailing Address - Phone:951-358-4741
Mailing Address - Fax:951-358-7701
Practice Address - Street 1:9990 COUNTY FARM RD
Practice Address - Street 2:SUITE - 1
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-3542
Practice Address - Country:US
Practice Address - Phone:951-358-4741
Practice Address - Fax:951-358-7701
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2010-05-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA466542084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF26836Medicare UPIN