Provider Demographics
NPI:1548757701
Name:PATEL, SANKET DIPCHANDBHAI (MD)
Entity Type:Individual
Prefix:
First Name:SANKET
Middle Name:DIPCHANDBHAI
Last Name:PATEL
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Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:111 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:CARLETON
Mailing Address - State:MI
Mailing Address - Zip Code:48117-9461
Mailing Address - Country:US
Mailing Address - Phone:734-240-8580
Mailing Address - Fax:734-240-4789
Practice Address - Street 1:111 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:CARLETON
Practice Address - State:MI
Practice Address - Zip Code:48117-9461
Practice Address - Country:US
Practice Address - Phone:734-240-8580
Practice Address - Fax:734-240-4789
Is Sole Proprietor?:No
Enumeration Date:2018-04-13
Last Update Date:2021-09-14
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Provider Licenses
StateLicense IDTaxonomies
MI4301503238207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine