Individual
DR. BHAVESH KUMAR GHANSHYAMBHAI PATEL
Active
Individual
DR. BHAVESH KUMAR GHANSHYAMBHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
053356
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470790179A
—
GA
01
—
866002
BCBS
GA
05
—
G53356
—
SC
01
—
P00089156
RR MEDICARE
GA
Enumeration date
07/15/2005
Last updated
02/18/2014
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