Provider Demographics
NPI:1013930304
Name:PATEL, BELA A (MD)
Entity Type:Individual
Prefix:
First Name:BELA
Middle Name:A
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 ROBBINSVILLE ALLENTOWN RD
Mailing Address - Street 2:
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-1625
Mailing Address - Country:US
Mailing Address - Phone:609-586-0300
Mailing Address - Fax:609-586-0325
Practice Address - Street 1:54 ROBBINSVILLE ALLENTOWN RD
Practice Address - Street 2:
Practice Address - City:ROBBINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08691-1625
Practice Address - Country:US
Practice Address - Phone:609-586-0300
Practice Address - Fax:609-586-0325
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2017-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA07328000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G34863Medicare UPIN
NJ074734Medicare ID - Type Unspecified