MEDICARE: BHAVESH M PATEL MD

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
1	207RN0300X	Nephrology Physician	47066	MN
2	207RN0300X	Nephrology Physician	0101246729	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	VV0823B	OTHER	VA	MEDICARE PROVIDER PTAN

General Provider Information

NPI Number	:	1942273602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHAVESH M PATEL MD

Provider Business Mailing Address
First Line	:	7501 RIGHT FLANK RD STE 600
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-3863
Country	:	US
Telephone Number	:	804-559-6980
Fax Number	:	804-559-6982

Provider Business Practice Location Address
First Line	:	8400 N RUN MEDICAL DR STE 200
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-2319
Country	:	US
Telephone Number	:	804-285-6390
Fax Number	:	804-285-6393

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	02/04/2026

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Directions to “ BHAVESH M PATEL MD” Practice Location

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