Provider Demographics
NPI:1063478956
Name:PATEL, BINDESH K (MD)
Entity Type:Individual
Prefix:DR
First Name:BINDESH
Middle Name:K
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:49025 WOODSON WAY
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-6673
Mailing Address - Country:US
Mailing Address - Phone:734-934-4854
Mailing Address - Fax:
Practice Address - Street 1:10000 TELEGRAPH RD
Practice Address - Street 2:THE CENTER FOR WOUND HEALING & HYPERBARIC MEDICINE
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-3330
Practice Address - Country:US
Practice Address - Phone:313-295-5343
Practice Address - Fax:313-295-5315
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2013-12-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI43010788972083P0011X, 2083P0500X, 207QA0505X
OH1206212083P0500X, 207QA0505X, 2083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4919135Medicaid
MIMI4164Medicare PIN
MIMI4164Medicare UPIN