Provider Demographics
NPI:1568618874
Name:PATEL, BINDIT (MD)
Entity Type:Individual
Prefix:
First Name:BINDIT
Middle Name:
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 1:401 HIGH HOUSE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-7201
Mailing Address - Country:US
Mailing Address - Phone:919-462-9100
Mailing Address - Fax:919-462-9313
Practice Address - Street 1:401 HIGH HOUSE RD STE 120
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-7201
Practice Address - Country:US
Practice Address - Phone:919-462-9100
Practice Address - Fax:919-462-9313
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-01598261QP2300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
941050CCCCOtherMEDICARE
IN200930010Medicaid