Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | 120621 | OH |
N | 207QA0505X | Family Doctor - Adult Medicine | 4301078897 | MI |
NPI | 1063478956 |
---|---|
Provider Name | Dr. Bindesh K. Patel |
First Address | Canton, MI 48187-6673 |
Second Address | Taylor, MI 48180-3330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 04/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4919135 | (05) | MI |
MI4164 | (02) | MI |