=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942273602
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BHAVESH M PATEL MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/10/2006
-----------------------------------------------------
Last Update Date | 07/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8400 N RUN MEDICAL DR STE 200
-----------------------------------------------------
City | MECHANICSVILLE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23116-2319
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-285-6390
-----------------------------------------------------
Fax | 804-285-6393
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8400 N RUN MEDICAL DR STE 200
-----------------------------------------------------
City | MECHANICSVILLE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23116-2319
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-559-6980
-----------------------------------------------------
Fax | 804-559-6982
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RN0300X
-----------------------------------------------------
Taxonomy Name | Nephrology Physician
-----------------------------------------------------
License Number | 47066
-----------------------------------------------------
License Number State | MN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207RN0300X
-----------------------------------------------------
Taxonomy Name | Nephrology Physician
-----------------------------------------------------
License Number | 0101246729
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------