Provider Demographics
NPI:1497722409
Name:PATEL, VEERA JAYANTILAL (MD)
Entity Type:Individual
Prefix:DR
First Name:VEERA
Middle Name:JAYANTILAL
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1021 HILL ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:THREE RIVERS
Mailing Address - State:MI
Mailing Address - Zip Code:49093-2745
Mailing Address - Country:US
Mailing Address - Phone:269-273-8511
Mailing Address - Fax:269-273-7413
Practice Address - Street 1:1021 HILL ST
Practice Address - Street 2:SUITE 100
Practice Address - City:THREE RIVERS
Practice Address - State:MI
Practice Address - Zip Code:49093-2745
Practice Address - Country:US
Practice Address - Phone:269-273-8511
Practice Address - Fax:269-273-7413
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2023-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MIVP066677207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1107510261OtherBCBSM
MI3375164Medicaid
MI3375164Medicaid
MI1107510261OtherBCBSM