Individual
BHAVESH MADHUSUDAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST 100 CENTREX, PHILADELPHIA, PA 19104
(215) 662-2532
Mailing address
3400 SPRUCE ST 100 CENTREX, PHILADELPHIA, PA 19104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT212960
PA
208000000X
Pediatrics Physician
MT213803
PA
Other
Enumeration date
05/11/2017
Last updated
07/20/2018
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