MEDICARE: AADIL PATEL DPM

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	213E00000X	Podiatrist	5901400346	MI

General Provider Information

NPI Number	:	1982055018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AADIL PATEL DPM

Provider Business Mailing Address
First Line	:	28460 SOUTHFIELD RD
Second Line	:
City	:	LATHRUP VILLAGE
State	:	MI
Zip	:	48076-2820
Country	:	US
Telephone Number	:	248-353-0096
Fax Number	:

Provider Business Practice Location Address
First Line	:	28460 SOUTHFIELD RD
Second Line	:
City	:	LATHRUP VILLAGE
State	:	MI
Zip	:	48076-2820
Country	:	US
Telephone Number	:	248-353-0096
Fax Number	:	248-809-6255

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2016
Last Update Date	:	10/24/2019

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