Provider Demographics
NPI:1912088808
Name:PATEL, BHARGAVI KANUBHAI (MB BS)
Entity Type:Individual
Prefix:DR
First Name:BHARGAVI
Middle Name:KANUBHAI
Last Name:PATEL
Suffix:
Gender:F
Credentials:MB BS
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Mailing Address - Street 1:12018 TINDALL DR
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131
Mailing Address - Country:US
Mailing Address - Phone:314-432-2951
Mailing Address - Fax:314-432-2986
Practice Address - Street 1:1000 EAST CHERRY STREET
Practice Address - Street 2:LINCOLN COUNTY MEDICAL CENTER DEPT OF RADIOLOGY
Practice Address - City:TROY
Practice Address - State:MO
Practice Address - Zip Code:63379
Practice Address - Country:US
Practice Address - Phone:636-528-3348
Practice Address - Fax:636-528-5431
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOR67992085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCAP9772939OtherDEA
H55339Medicare UPIN