Organization
BHARAT PATEL M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHARAT KUMAR PATEL M.D. (CEO)
(586) 776-8200
Entity
Organization
Contact information
Practice address
21420 HARPER AVE, SUITE 2, SAINT CLAIR SHORES, MI 48080-3607
(586) 776-8200
(586) 776-8200
Mailing address
21420 HARPER AVE, SUITE 2, SAINT CLAIR SHORES, MI 48080-3607
(586) 776-8200
(586) 776-8200
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
4301407611
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1105043052
BLUE CROSS BLUE SHIELD
MI
05
—
2574780-10
—
MI
Enumeration date
09/22/2006
Last updated
06/15/2009
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