MEDICARE: BIJAL PATEL MS

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	225X00000X	Occupational Therapist	5201006982	MI

General Provider Information

NPI Number	:	1568935047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIJAL PATEL MS

Provider Business Mailing Address
First Line	:	6239 GARNET LN APT SUITE
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-7824
Country	:	US
Telephone Number	:	810-344-9487
Fax Number	:

Provider Business Practice Location Address
First Line	:	6239 GARNET LN APT SUITE
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-7824
Country	:	US
Telephone Number	:	810-344-9487
Fax Number	:

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

Provider Enumeration Date	:	01/07/2019
Last Update Date	:	01/07/2019

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Directions to “ BIJAL PATEL MS” Practice Location

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