MEDICARE: BHAKTI PATEL

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1811402217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHAKTI PATEL

Provider Business Mailing Address
First Line	:	2 MERRIMACK CT
Second Line	:
City	:	PARAMUS
State	:	NJ
Zip	:	07652-4700
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1145 19TH ST NW STE 403
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20036-3716
Country	:	US
Telephone Number	:	202-223-9040
Fax Number	:

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

Provider Enumeration Date	:	12/06/2017
Last Update Date	:	12/06/2017

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Directions to “ BHAKTI PATEL ” Practice Location

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