Healthcare Provider Details

I. General information

NPI: 1225655079
Provider Name (Legal Business Name): VRUSHANK PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2020
Last Update Date: 03/29/2024
Certification Date: 03/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 W UNIVERSITY DR
ROCHESTER MI
48307-1863
US

IV. Provider business mailing address

7130 BROCKTON DR
KALAMAZOO MI
49009-4122
US

V. Phone/Fax

Practice location:
  • Phone: 248-601-4805
  • Fax:
Mailing address:
  • Phone: 269-501-5411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number67421
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4351046562
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: