Provider Demographics
NPI:1154709814
Name:PATEL, BHAVIN MANISH (MD)
Entity type:Individual
Prefix:DR
First Name:BHAVIN
Middle Name:MANISH
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 35629
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-0629
Mailing Address - Country:US
Mailing Address - Phone:214-424-2200
Mailing Address - Fax:214-231-2159
Practice Address - Street 1:1600 CENTRAL DR STE 310
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6029
Practice Address - Country:US
Practice Address - Phone:817-267-8470
Practice Address - Fax:817-267-0396
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-14
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL154105207RG0100X
TXU8416207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty