Provider Demographics
NPI:1932109246
Name:PATEL, PIYUSH C (MD)
Entity Type:Individual
Prefix:DR
First Name:PIYUSH
Middle Name:C
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:G3252 BEECHER RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3614
Mailing Address - Country:US
Mailing Address - Phone:810-230-6800
Mailing Address - Fax:810-230-0713
Practice Address - Street 1:G3252 BEECHER RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3614
Practice Address - Country:US
Practice Address - Phone:810-230-6800
Practice Address - Fax:810-230-0713
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2014-04-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301075747207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4507947Medicaid
MI4507947Medicaid
MIH86061Medicare UPIN