Individual
DR. BHAVIK G PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1825 LOGAN AVE, WATERLOO, IA 50703
(319) 235-3941
Mailing address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-3941
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
36766
IA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
6967357-8905
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00685131
MEDICARE RAILROAD
UT
Enumeration date
05/17/2007
Last updated
10/01/2021
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