MEDICARE: DR. BHAVIN C PATEL MD

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	207RN0300X	Nephrology Physician	ME142834	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619234416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BHAVIN C PATEL MD

Provider Business Mailing Address
First Line	:	14134 NEPHRON LN
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34667-8554
Country	:	US
Telephone Number	:	727-863-5418
Fax Number	:	727-497-6784

Provider Business Practice Location Address
First Line	:	1935 WORTH CT
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34211-2110
Country	:	US
Telephone Number	:	941-251-4031
Fax Number	:	941-251-4034

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

Provider Enumeration Date	:	04/18/2012
Last Update Date	:	10/14/2021

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Directions to “ DR. BHAVIN C PATEL MD” Practice Location

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