Provider Demographics
NPI:1629133152
Name:AMIN, ARTI PATEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTI
Middle Name:PATEL
Last Name:AMIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:14555 LEVAN RD
Mailing Address - Street 2:STE 314
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154
Mailing Address - Country:US
Mailing Address - Phone:734-542-1970
Mailing Address - Fax:734-293-5379
Practice Address - Street 1:14555 LEVAN RD
Practice Address - Street 2:STE 314
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154
Practice Address - Country:US
Practice Address - Phone:734-542-1970
Practice Address - Fax:734-293-5379
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MIAA063768208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2508273391OtherBCBS
MI103511829Medicaid
MI103511829Medicaid
0P26200Medicare ID - Type Unspecified