Individual
BHARGAVBHAI K PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-2045
(541) 267-5151
(541) 266-4542
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-2045
(541) 267-5151
(541) 266-4542
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD153959
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407812365
NBMC MAIN GROUP NPI
OR
01
—
161133
NBMC MAIM GROUP MEDCAID
OR
01
—
39
STUDENT AND EDUCATION
NJ
05
—
500636365
—
OR
01
—
93-0635514
NBMC MAIN TAX ID FOR BILLING
OR
01
—
R0000WFBTV
NBMC MAIN GROUP MEDICARE
OR
Enumeration date
07/08/2008
Last updated
03/12/2015
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