| Bhupendra R. Patel Md Pc | |
|
512 Lackawanna Avenue Mayfield PA 18433-1802 | |
| (570) 876-0209 | |
| Not Available |
| Full Name | Bhupendra R. Patel Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 512 Lackawanna Avenue, Mayfield, Pennsylvania |
| Authorized Official Name and Position | Bhupendra R Patel (OWNER) |
| Authorized Official Contact | 5708760209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhupendra R. Patel Md Pc 512 Lackawanna Avenue Mayfield PA 18433-1802 Ph: (570) 876-0209 | Bhupendra R. Patel Md Pc 512 Lackawanna Avenue Mayfield PA 18433-1802 Ph: (570) 876-0209 |
| NPI Number | 1982993218 |
|---|---|
| Provider Enumeration Date | 04/07/2011 |
| Last Update Date | 04/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982993218 | NPI | - | NPPES |
| 0005902660001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD021212E (Pennsylvania) | Primary |