Provider Demographics
NPI:1669485371
Name:PATEL, BHARAT SHIVABHAI (MD)
Entity Type:Individual
Prefix:
First Name:BHARAT
Middle Name:SHIVABHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17448 HWAY 3
Mailing Address - Street 2:SUITE 175
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4139
Mailing Address - Country:US
Mailing Address - Phone:281-332-4000
Mailing Address - Fax:281-332-6000
Practice Address - Street 1:17448 HWAY 3
Practice Address - Street 2:SUITE 175
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4139
Practice Address - Country:US
Practice Address - Phone:281-332-4000
Practice Address - Fax:281-332-6000
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH5347207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX60070786OtherDPS
TXBP1787348OtherDEA
TX89T460Medicare ID - Type Unspecified
TX60070786OtherDPS