Provider Demographics
NPI:1619239043
Name:PATEL, DHWANI (PA-C)
Entity Type:Individual
Prefix:MS
First Name:DHWANI
Middle Name:
Last Name:PATEL
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2000 GREEN RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-1598
Mailing Address - Country:US
Mailing Address - Phone:734-995-3764
Mailing Address - Fax:734-995-2913
Practice Address - Street 1:1600 S CANTON CENTER RD
Practice Address - Street 2:SUITE 140
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-1992
Practice Address - Country:US
Practice Address - Phone:734-398-7561
Practice Address - Fax:734-398-7566
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2016-08-24
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Provider Licenses
StateLicense IDTaxonomies
MI5601006003363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical