| Bhadresh I. Patel, M.d. | |
|
802 Dunlawton Ave Suite 101 Port Orange FL 32127 | |
| (386) 788-9086 | |
| (386) 788-6589 |
| Full Name | Bhadresh I. Patel, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 802 Dunlawton Ave, Port Orange, Florida |
| Authorized Official Name and Position | Bhadresh I Patel (PRESIDENT) |
| Authorized Official Contact | 3867889086 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhadresh I. Patel, M.d. 802 Dunlawton Ave Suite 101 Port Orange FL 32127 Ph: (386) 788-9086 | Bhadresh I. Patel, M.d. 802 Dunlawton Ave Suite 101 Port Orange FL 32127 Ph: (386) 788-9086 |
| NPI Number | 1245305440 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 06/17/2008 |
| Medicare PECOS PAC ID | 6406855691 |
|---|---|
| Medicare Enrollment ID | O20061218000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245305440 | NPI | - | NPPES |
| 0100873 | Other | FL | UHC |
| 5363010 | Other | FL | AETNA |
| 27612 | Other | FL | BCBS |
| 379467900 | Medicaid | FL | |
| 6009354 | Other | FL | GHI |
| 5031818012 | Other | FL | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bhadresh I Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467469700 PECOS PAC ID: 3173521424 Enrollment ID: I20061120000530 |
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Kirsten Kim Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Dunlawton Ave Ste 311, Port Orange, FL 32127 Phone: 386-310-4807 Fax: 386-310-7473 | |
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