Organization
MAHESH B. PATEL
Active
Other names
Bradshaw Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAHESH B PATEL MD (OWNER)
(304) 967-5034
Entity
Organization
Contact information
Practice address
9981 MARSHALL HIGHWAY, BRADSHAW, WV 24817
(304) 967-5034
(304) 906-2417
Mailing address
PO BOX 240, BRADSHAW, WV 24817-0240
(304) 967-5034
(304) 906-2417
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0034884000
—
WV
Enumeration date
04/20/2006
Last updated
03/31/2017
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