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General NPI Number Information
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NPI Number | 1750379913
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Entity Type | Individual
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Provider Name | BHAVIN PRAVIN PATEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 03/15/2020
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Provider Practice Location Address
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Address Line | 950 W AVON RD SUITE #A-5
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-2761
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Country | US
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Telephone | 248-651-1133
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Fax | 248-651-5004
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Provider Business Mailing Address
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Address Line | 950 W AVON RD STE 2
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-2761
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Country | US
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Telephone | 248-651-1133
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Fax | 248-651-5004
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 4301068679
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License Number State | MI
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