# DR. BHUPENDRA C PATEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366436412
- **Gender:** Man
- **Credential:** M.D., F.R.C.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 188029-1205 | UT | — |
| 207W00000X | Ophthalmology Physician | 188029-1205 | UT | Yes |
| 207WX0200X | Ophthalmic Plastic and Reconstructive Surgery Physician | 188029-1205 | UT | — |

## Other

- **Enumeration date:** 09/06/2005
- **Last updated:** 11/11/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002084856 | — | NV |
| 01 | — | 180037474 | RAILROAD MEDICARE | UT |
| 01 | — | 199292 | IHC NUMBER | UT |
| 01 | — | 63914081705001 | BCBS UTAH NUMBER | TN |