Individual
DR. BHUPENDRA C PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.R.C.S.
Contact information
Practice address
65 NORTH MEDICAL DRIVE, SALT LAKE CITY, UT 84132
(801) 581-2352
Mailing address
65 N MEDICAL DR, SALT LAKE CITY, UT 84132-1000
(801) 585-6641
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
188029-1205
UT
207W00000X
Ophthalmology Physician
Primary
188029-1205
UT
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
188029-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002084856
—
NV
01
—
180037474
RAILROAD MEDICARE
UT
01
—
199292
IHC NUMBER
UT
01
—
63914081705001
BCBS UTAH NUMBER
TN
Enumeration date
09/06/2005
Last updated
11/11/2021
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