Individual
BHAVIK HASMUKHBHAI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7950 W JEFFERSON BLVD STE 210, FORT WAYNE, IN 46804
(260) 435-7355
(260) 435-7637
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3516
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01080897A
IN
208000000X
Pediatrics Physician
Primary
25MA10382900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
03/30/2015
Last updated
08/28/2023
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