Bharat Patel M.D. PC

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

4301407611 Issued in MI

Legal business name

BHARAT PATEL M.D. PC

Practice address

21420 Harper Ave
Suite 2
Saint Clair Shores, MI 48080-3607

Phone

(586) 776-8200

Fax

(586) 776-8200

NPI assigned

Sep 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bharat Kumar Patel, M.D.

Title

Ceo

Phone

(586) 776-8200

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1083714976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21420 HARPER AVE",
            "address_2": "SUITE 2",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803607",
            "telephone_number": "586-776-8200",
            "fax_number": "586-776-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21420 HARPER AVE",
            "address_2": "SUITE 2",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803607",
            "telephone_number": "586-776-8200",
            "fax_number": "586-776-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHARAT PATEL M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-776-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MI",
            "license": "4301407611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1105043052",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2574780-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Addiction Medicine (Internal Medicine) Physician in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Addiction Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.