Provider Demographics
NPI:1417462276
Name:RIVI MEDICAL ASSOCIATES PLC
Entity Type:Organization
Organization Name:RIVI MEDICAL ASSOCIATES PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KHYATI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-962-3225
Mailing Address - Street 1:17599 PARKSHORE DR
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-8577
Mailing Address - Country:US
Mailing Address - Phone:734-837-0052
Mailing Address - Fax:
Practice Address - Street 1:26850 PROVIDENCE PKWY STE 420
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374-1263
Practice Address - Country:US
Practice Address - Phone:248-962-3225
Practice Address - Fax:866-667-9703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-02
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty