Provider Demographics
NPI:1801830732
Name:PATEL, SAPNA R (MD)
Entity Type:Individual
Prefix:DR
First Name:SAPNA
Middle Name:R
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3900 HOLLYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MI
Mailing Address - Zip Code:49085-9149
Mailing Address - Country:US
Mailing Address - Phone:269-428-4411
Mailing Address - Fax:269-428-4422
Practice Address - Street 1:3900 HOLLYWOOD RD
Practice Address - Street 2:MARIE YEAGER CANCER CENTER
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-9149
Practice Address - Country:US
Practice Address - Phone:269-428-4411
Practice Address - Fax:269-438-4422
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301075776207RH0003X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1801830732Medicaid
MIP00923035OtherRR MEDICARE
MI1538397120OtherGROUP NPI
MI27-0381199OtherGROUP TAX ID
MIP00923035OtherRR MEDICARE
MIMI2051132Medicare PIN