| Hetal Patel, M.d. P.c. | |
|
30472 23 Mile Rd Chesterfield MI 48047-1844 | |
| (586) 863-4000 | |
| (586) 863-4004 |
| Full Name | Hetal Patel, M.d. P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 30472 23 Mile Rd, Chesterfield, Michigan |
| Authorized Official Name and Position | Hetal Patel (OWNER) |
| Authorized Official Contact | 5868634000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hetal Patel, M.d. P.c. 30472 23 Mile Rd Chesterfield MI 48047-1844 Ph: (586) 863-0000 | Hetal Patel, M.d. P.c. 30472 23 Mile Rd Chesterfield MI 48047-1844 Ph: (586) 863-4000 |
| NPI Number | 1447672944 |
|---|---|
| Provider Enumeration Date | 01/17/2014 |
| Last Update Date | 12/05/2022 |
| Certification Date | 12/05/2022 |
| Medicare PECOS PAC ID | 0345470316 |
|---|---|
| Medicare Enrollment ID | O20140313001602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447672944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Hetal P Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508068685 PECOS PAC ID: 0648328351 Enrollment ID: I20090507000515 |
| Provider Name | Abigail Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629449731 PECOS PAC ID: 9830498336 Enrollment ID: I20160505000452 |
| Provider Name | Jessica Pastva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912524190 PECOS PAC ID: 5092115972 Enrollment ID: I20210615000576 |
| Provider Name | Renee Tringali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245751916 PECOS PAC ID: 9931641396 Enrollment ID: I20240613000150 |
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