Provider Demographics
NPI:1669566451
Name:PATEL, BINA DINKER (MD)
Entity type:Individual
Prefix:MS
First Name:BINA
Middle Name:DINKER
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 1:2200 O'FARRELL ST 3RD FLOOR
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISO
Mailing Address - State:CA
Mailing Address - Zip Code:94115
Mailing Address - Country:US
Mailing Address - Phone:415-833-2200
Mailing Address - Fax:510-535-4128
Practice Address - Street 1:3451 E 12TH STREET
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601
Practice Address - Country:US
Practice Address - Phone:510-535-3319
Practice Address - Fax:510-535-4187
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA91068207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA551975OtherFQHC
CAZZZ29799ZOtherMEDICARE PROVIDER NUMBER
CAZZZ79046ZOtherMEDICARE PART B PROVIDER NUMBER
CA1144336181OtherNPI TRANSIT VILLAGE SITE
CAZZZ79046ZOtherMEDICARE PART B PROVIDER NUMBER