Provider Demographics
NPI:1093516411
Name:PATEL, BHAVIN (MD)
Entity type:Individual
Prefix:DR
First Name:BHAVIN
Middle Name:
Last Name:PATEL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 THREE FEATHERS CT
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78633-2911
Mailing Address - Country:US
Mailing Address - Phone:732-372-3342
Mailing Address - Fax:
Practice Address - Street 1:504 THREE FEATHERS CT
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78633-2911
Practice Address - Country:US
Practice Address - Phone:732-372-3342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program