Provider Demographics
NPI:1558342097
Name:PATEL, BHARATKUMAR R (MD)
Entity Type:Individual
Prefix:DR
First Name:BHARATKUMAR
Middle Name:R
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:111 CENTER POINTE DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-8682
Mailing Address - Country:US
Mailing Address - Phone:931-648-7615
Mailing Address - Fax:931-648-7616
Practice Address - Street 1:111 CENTER POINTE DR
Practice Address - Street 2:SUITE 1
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-8682
Practice Address - Country:US
Practice Address - Phone:931-648-7615
Practice Address - Fax:931-648-7616
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-10
Last Update Date:2023-04-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN26865207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3096435Medicaid
TN3096435Medicaid
TN3096435Medicare ID - Type Unspecified