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NPI Code Detail

MEDICARE: ASHISHKUMAR A PATEL

MEDICARE:   ASHISHKUMAR A PATEL
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
1225100000XPhysical Therapist5501017418MI

General Provider Information

NPI Number : 1568001196
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHISHKUMAR A PATEL
Provider Business Mailing Address
First Line : 7172 MEADOWBROOK DR UNIT 102
Second Line :
City : CANTON
State : MI
Zip : 48187-3552
Country : US
Telephone Number : 847-505-8008
Fax Number : 248-856-1242
Provider Business Practice Location Address
First Line : 7172 MEADOWBROOK DR UNIT 102
Second Line :
City : CANTON
State : MI
Zip : 48187-3552
Country : US
Telephone Number : 847-505-8008
Fax Number : 248-856-1242
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2019
Last Update Date : 12/30/2019

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Directions to “ ASHISHKUMAR A PATEL ” Practice Location

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