Healthcare Provider Details

I. General information

NPI: 1396534004
Provider Name (Legal Business Name): HARSHIL PATEL M.B.B.S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 08/06/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TRINITY HEALTH ACADEMIC INTERNAL MEDICINE-NORTHWEST LIV 37595 SEVEN MILE RD., SUITE 340
LIVONIA MI
48152
US

IV. Provider business mailing address

B/24 ISHAN RESIDENCY R.C. TECH ROAD, GHATLODIA
AHMEDABAD GUJARAT
380061
IN

V. Phone/Fax

Practice location:
  • Phone: 734-743-4540
  • Fax: 330-675-5720
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: