Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 4301048616 | MI |
N | 207RI0011X | Interventional Cardiology | 4301048616 | MI |
NPI | 1003871294 |
---|---|
Provider Name | Dr. Kiritkumar Chhotabhai Patel |
First Address | Bloomfield Hills, MI 48304-5206 |
Second Address | Bloomfield Hills, MI 48304-5206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 28/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4257960-10 | (05) | MI |
700F37550 | BCBSM (01) | MI |
700F37550 | BCN (01) | MI |
A78051 | (02) | MI |
A78051 | HAP (01) | MI |