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Organization

BHARAT K PATEL SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BHARAT K PATEL M.D. (PRESIDENT)
(618) 524-2182
Entity
Organization

Contact information

Practice address
12 HOSPITAL DR., MEMORIAL HEIGHTS, METROPOLIS, IL 62960
(618) 524-2182
(618) 524-2451
Mailing address
PO BOX 191, MEMORIAL HEIGHTS, METROPOLIS, IL 62960
(618) 524-2182
(618) 524-2451

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036055925
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0006400031
BCBS
IL
05
036055925
IL
05
036113119
IL
01
1083736680
GROUP NPI
IL
05
1992735526
IL
01
K19391
GROUP MEDICARE
IL
Enumeration date
04/04/2007
Last updated
07/22/2010
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