Provider Demographics
NPI:1396961777
Name:PATEL, BIJAL MAULIN (MD)
Entity type:Individual
Prefix:
First Name:BIJAL
Middle Name:MAULIN
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BIJAL
Other - Middle Name:CHINUBHAI
Other - Last Name:DOSHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3023 BADGER DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-8709
Mailing Address - Country:US
Mailing Address - Phone:347-835-8467
Mailing Address - Fax:
Practice Address - Street 1:1447 CEDARWOOD LN STE A
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-6140
Practice Address - Country:US
Practice Address - Phone:925-463-1318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNA207R00000X
CAA126410207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine