Provider Demographics
NPI:1851526222
Name:BIPIN M. PATEL, M.D., P.C.
Entity Type:Organization
Organization Name:BIPIN M. PATEL, M.D., P.C.
Other - Org Name:BIPIN M. PATEL, MD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SOLE PROPRIETER
Authorized Official - Prefix:DR
Authorized Official - First Name:BIPIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-323-0625
Mailing Address - Street 1:2300 MANCHESTER EXPY
Mailing Address - Street 2:SUITE B-2
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-6802
Mailing Address - Country:US
Mailing Address - Phone:706-323-0625
Mailing Address - Fax:706-323-0099
Practice Address - Street 1:2300 MANCHESTER EXPY
Practice Address - Street 2:SUITE B-2
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-6802
Practice Address - Country:US
Practice Address - Phone:706-323-0625
Practice Address - Fax:706-323-0099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-28
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA25011207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000266615AMedicaid
GA000266615AMedicaid