| Sudha R Patel Md Pc | |
|
34210 Glenwood Ave. Westland MI 48186-5439 | |
| (734) 728-2300 | |
| (734) 728-1400 |
| Full Name | Sudha R Patel Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 34210 Glenwood Ave., Westland, Michigan |
| Authorized Official Name and Position | Sudha R Patel (PRESIDENT) |
| Authorized Official Contact | 7347282300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sudha R Patel Md Pc 49848 Cooke Ave Plymouth MI 48170-2885 Ph: (734) 459-4128 | Sudha R Patel Md Pc 34210 Glenwood Ave. Westland MI 48186-5439 Ph: (734) 728-2300 |
| NPI Number | 1386816460 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 03/28/2008 |
| Medicare PECOS PAC ID | 6204901051 |
|---|---|
| Medicare Enrollment ID | O20080813000869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386816460 | NPI | - | NPPES |
| 1874675 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sudha R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013917236 PECOS PAC ID: 2860567617 Enrollment ID: I20080813000855 |
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