Provider Demographics
NPI:1013269794
Name:THREE RIVERS AREA MEDICAL ASSOCIATES PC
Entity Type:Organization
Organization Name:THREE RIVERS AREA MEDICAL ASSOCIATES PC
Other - Org Name:DBA VEERA J. PATEL, M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VEERA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:269-273-8511
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?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-05
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301066677174400000X
207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty