Organization
BHUPENDRA R. PATEL MD PC
Active
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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