Individual
DR. BHAKTI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036140601
IL
207Q00000X
Family Medicine Physician
Primary
100771-875
WI
207Q00000X
Family Medicine Physician
9408172
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100212671
—
WI
Enumeration date
05/28/2013
Last updated
12/08/2023
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