Provider Demographics
NPI:1689725764
Name:PATEL, BINA J (MD)
Entity Type:Individual
Prefix:DR
First Name:BINA
Middle Name:J
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1611 SPRING GATE LN # 370010
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-6201
Mailing Address - Country:US
Mailing Address - Phone:702-806-6052
Mailing Address - Fax:702-914-6053
Practice Address - Street 1:410 S RAMPART BLVD STE 420
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-5749
Practice Address - Country:US
Practice Address - Phone:702-947-4896
Practice Address - Fax:702-548-4253
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8677207R00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2018140Medicaid
NVG16285Medicare UPIN
NV32844Medicare ID - Type Unspecified