Provider Demographics
NPI:1467652891
Name:PATEL, ANU SINGLA (MD)
Entity Type:Individual
Prefix:
First Name:ANU
Middle Name:SINGLA
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31500 TELEGRAPH RD STE 5
Mailing Address - Street 2:
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4329
Mailing Address - Country:US
Mailing Address - Phone:248-621-0200
Mailing Address - Fax:248-621-0201
Practice Address - Street 1:31500 TELEGRAPH RD STE 5
Practice Address - Street 2:
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-4329
Practice Address - Country:US
Practice Address - Phone:248-621-0200
Practice Address - Fax:248-621-0201
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY260860-1207W00000X
MI4301090689207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P30630859Medicare PIN