MEDICARE: BHARGAV 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	2084P0800X	Psychiatry Physician	12814	GA

General Provider Information

NPI Number	:	1972179661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHARGAV PATEL MD

Provider Business Mailing Address
First Line	:	3993 LAWRENCEVILLE HWY NW STE 140A
Second Line	:
City	:	LILBURN
State	:	GA
Zip	:	30047-2897
Country	:	US
Telephone Number	:	404-333-8204
Fax Number	:	404-595-1404

Provider Business Practice Location Address
First Line	:	3993 LAWRENCEVILLE HWY NW STE 140A
Second Line	:
City	:	LILBURN
State	:	GA
Zip	:	30047-2897
Country	:	US
Telephone Number	:	404-333-8204
Fax Number	:	404-595-1404

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

Provider Enumeration Date	:	06/02/2021
Last Update Date	:	05/26/2026

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