Individual
DR. BHASKAR N PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 N LOGAN AVE, DANVILLE, IL 61832-4360
(217) 477-4773
(217) 477-4782
Mailing address
707 N LOGAN AVE, DANVILLE, IL 61832-4360
(217) 477-4773
(217) 477-4782
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036086990
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086990
—
IL
01
—
1756636
UNITED HEALTHCARE
—
01
—
177407
PERSONAL CARE/COVENTRY
—
05
—
200149600A
—
IN
Enumeration date
06/13/2006
Last updated
01/12/2015
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