Bharatkumar R Patel, M.D

Individual provider Active NPI Internal Medicine Physician · Annandale, NJ

NPI 1184876849 · NPPES record last updated Oct 14, 2008

Key facts

NPI
1184876849
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
25MA06377800 (NJ)
Practice address
31 Petticoat LN
Annandale, NJ 08801-3039
Phone
(908) 638-6191
Fax
(908) 638-4914
NPI assigned
Oct 14, 2008
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06377800NJMDInternal Medicine Physician
MD056337LPAMDInternal Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06377800 NJ Yes
Internal Medicine Physician 207R00000X MD056337L PA

Addresses

Primary practice location

31 Petticoat LN
Annandale, NJ 08801-3039

Mailing address

31 Petticoat LN
Annandale, NJ 08801-3039
Phone (908) 638-6191

Other providers in Annandale, NJ

All providers in Annandale, NJ · Internal Medicine Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.