Provider Demographics
NPI:1518654243
Name:PATEL, MAHESHBHAI T
Entity Type:Individual
Prefix:
First Name:MAHESHBHAI
Middle Name:T
Last Name:PATEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2838 PIMLICO LN
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-6185
Mailing Address - Country:US
Mailing Address - Phone:734-308-5402
Mailing Address - Fax:
Practice Address - Street 1:27910 7 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3755
Practice Address - Country:US
Practice Address - Phone:734-308-5402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-21
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide