Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 4301106727 | MI |
N | 207RP1001X | Pulmonary Disease | 4301106727 | MI |
Y | 207RS0012X | Sleep Medicine | 4301106727 | MI |
NPI | 1083877294 |
---|---|
Provider Name | Vishal K Patel |
First Address | Southfield, MI 48033-3849 |
Second Address | Royal Oak, MI 48073-6770 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2008 |
Last Update Date | 20/10/2020 |