Provider Demographics
NPI:1700470242
Name:PATEL, BHUMI (PA-C)
Entity Type:Individual
Prefix:
First Name:BHUMI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:501 WILLARD ST APT 135
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-3282
Mailing Address - Country:US
Mailing Address - Phone:919-356-2704
Mailing Address - Fax:
Practice Address - Street 1:40 DUKE MEDICINE CIR # 3093
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-2102
Practice Address - Country:US
Practice Address - Phone:919-684-1817
Practice Address - Fax:919-681-8147
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-25
Last Update Date:2021-05-12
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Provider Licenses
StateLicense IDTaxonomies
NC0010-11077363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical