Provider Demographics
NPI:1619234416
Name:PATEL, BHAVIN C (MD)
Entity Type:Individual
Prefix:DR
First Name:BHAVIN
Middle Name:C
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 1:14134 NEPHRON LN
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-8554
Mailing Address - Country:US
Mailing Address - Phone:727-863-5418
Mailing Address - Fax:727-497-6784
Practice Address - Street 1:1935 WORTH CT
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34211-2110
Practice Address - Country:US
Practice Address - Phone:941-251-4031
Practice Address - Fax:941-251-4034
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-18
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME142834207RN0300X
MI4301097322207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology