MEDICARE: RIVI MEDICAL ASSOCIATES PLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1417462276
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVI MEDICAL ASSOCIATES PLC

Provider Business Mailing Address
First Line	:	17599 PARKSHORE DR
Second Line	:
City	:	NORTHVILLE
State	:	MI
Zip	:	48168-8577
Country	:	US
Telephone Number	:	734-837-0052
Fax Number	:

Provider Business Practice Location Address
First Line	:	26850 PROVIDENCE PKWY STE 420
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48374-1263
Country	:	US
Telephone Number	:	248-962-3225
Fax Number	:	866-667-9703

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KHYATI PATEL
Credential	:	MD
Telephone Number	:	248-962-3225

Provider Enumeration Date	:	12/02/2017
Last Update Date	:	01/21/2021

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