Individual
BHARATKUMAR D PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
157 W 8TH ST, FAIRMOUNT, IN 46928-1012
(765) 660-7880
(765) 671-3507
Mailing address
330 NORTH WABASH AVE, SUITE G20, MARION, IN 46952-2600
(765) 660-7600
(765) 651-7313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01031734A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000108712
ANTHEM BCBS
IN
05
—
100171640A
—
IN
Enumeration date
11/10/2005
Last updated
05/20/2014
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