Healthcare Provider Details

I. General information

NPI: 1689725764
Provider Name (Legal Business Name): BINA J PATEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 S RAMPART BLVD STE 350
LAS VEGAS NV
89145-5754
US

IV. Provider business mailing address

1611 SPRING GATE LN # 370010
LAS VEGAS NV
89134-6201
US

V. Phone/Fax

Practice location:
  • Phone: 702-947-4896
  • Fax: 725-726-9180
Mailing address:
  • Phone: 702-806-6052
  • Fax: 702-914-6053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number8677
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number8677
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: