Provider Demographics
NPI:1508822362
Name:PATEL, TRUPTI R (MD)
Entity Type:Individual
Prefix:DR
First Name:TRUPTI
Middle Name:R
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1973 GOLF RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-1724
Mailing Address - Country:US
Mailing Address - Phone:734-421-4242
Mailing Address - Fax:734-421-2624
Practice Address - Street 1:33200 WARREN RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-2946
Practice Address - Country:US
Practice Address - Phone:734-421-4242
Practice Address - Fax:734-421-2624
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301060723207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4827552Medicaid
MI4827552Medicaid
MIG16144Medicare UPIN