Provider Demographics
NPI:1508872110
Name:PATEL, ZARNA JINESH (RD, MPAS-PA-C)
Entity Type:Individual
Prefix:MS
First Name:ZARNA
Middle Name:JINESH
Last Name:PATEL
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Gender:F
Credentials:RD, MPAS-PA-C
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Mailing Address - Street 1:42557 WOODWARD AVE
Mailing Address - Street 2:STE 130
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-5206
Mailing Address - Country:US
Mailing Address - Phone:248-322-3088
Mailing Address - Fax:248-322-4175
Practice Address - Street 1:42557 WOODWARD AVE
Practice Address - Street 2:STE 200
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304-5206
Practice Address - Country:US
Practice Address - Phone:248-333-1170
Practice Address - Fax:248-333-1175
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2017-05-07
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Provider Licenses
StateLicense IDTaxonomies
133V00000X
MI5601005611363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1295023547OtherMICHIGAN HEALTHCARE PROFESSIONALS PC GROUP NPI
MIMI4989OtherGROUP MEDICARE PTAN