Healthcare Provider Details

I. General information

NPI: 1154613289
Provider Name (Legal Business Name): BEJAL PATEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2011
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3980 LAKE PLACID DR
RENO NV
89511-6702
US

IV. Provider business mailing address

5437 KIETZKE LN
RENO NV
89511-1088
US

V. Phone/Fax

Practice location:
  • Phone: 775-784-3319
  • Fax: 775-322-4956
Mailing address:
  • Phone: 775-784-3319
  • Fax: 775-322-4956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number16552
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number16552
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number16552
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number072391
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: