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NPI Code Detail

MEDICARE: BHAIRAVI PATEL

MEDICARE:   BHAIRAVI  PATEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1578011631
Entity Type Code : Individual
Provider Name (Legal Business Name) : BHAIRAVI PATEL
Provider Business Mailing Address
First Line : 1530 CLEVELAND RD
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-4302
Country : US
Telephone Number : 609-513-3245
Fax Number :
Provider Business Practice Location Address
First Line : 1530 CLEVELAND RD
Second Line : 117
City : SANDUSKY
State : OH
Zip : 44870-4302
Country : US
Telephone Number : 609-513-3245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2016
Last Update Date : 09/19/2016

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Directions to “ BHAIRAVI PATEL ” Practice Location

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