Organization
BHUPENDRA R. PATEL MD PC
Active
Other names
Bhupendra Rambhai Patel M.D. P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHUPENDRA R PATEL MD (OWNER)
(570) 876-0209
Entity
Organization
Contact information
Practice address
512 LACKAWANNA AVENUE, MAYFIELD, PA 18433-1802
(570) 876-0209
Mailing address
512 LACKAWANNA AVENUE, MAYFIELD, PA 18433-1802
(570) 876-0209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD021212E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005902660001
—
PA
Enumeration date
04/07/2011
Last updated
04/07/2011
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