Individual
BHAVDIPKUMAR G PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 WARD ST EXT W, DOUGLAS, GA 31533-2204
(912) 383-8070
(912) 383-0509
Mailing address
1320 S MADISON AVE, #269, DOUGLAS, GA 31533
(912) 383-8070
(912) 383-0509
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
048694
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
048694
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000907684A
—
GA
01
—
58786975001
BCBS
GA
Enumeration date
10/25/2006
Last updated
09/16/2015
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