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Individual
BHADRIK I PATEL
Active
Individual
BHADRIK I PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1501
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N110
MEDICARE
SC
01
—
PA1501
MEDICAL LICENSE
SC
05
—
PG1133
—
SC
Enumeration date
06/24/2009
Last updated
02/01/2024
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