Provider Demographics
NPI:1952647380
Name:VEERA J. PATEL, MD - INTERNAL MEDICINE
Entity Type:Organization
Organization Name:VEERA J. PATEL, MD - INTERNAL MEDICINE
Other - Org Name:VEERA J. PATEL, MD INTERNAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:
Authorized Official - Last Name:COSTELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-647-3460
Mailing Address - Street 1:1021 HILL ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:THREE RIVERS
Mailing Address - State:MI
Mailing Address - Zip Code:49093-2745
Mailing Address - Country:US
Mailing Address - Phone:269-273-8511
Mailing Address - Fax:269-273-7413
Practice Address - Street 1:1021 HILL ST
Practice Address - Street 2:SUITE 100
Practice Address - City:THREE RIVERS
Practice Address - State:MI
Practice Address - Zip Code:49093-2745
Practice Address - Country:US
Practice Address - Phone:269-273-8511
Practice Address - Fax:269-273-7413
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THREE RIVERS HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-12
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty