| Trupti Patel, M.D., PLLC | |
|
15130 Levan Road Suite 48 Livonia MI 48154-5027 | |
| (734) 421-4242 | |
| (734) 421-2624 |
| Full Name | Trupti Patel, M.D., PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 15130 Levan Road, Livonia, Michigan |
| Authorized Official Name and Position | Trupti R Patel (OWNER) |
| Authorized Official Contact | 7344214242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trupti Patel, M.D., PLLC 3872 Vista Ln Orchard Lake MI 48323-1678 Ph: (248) 745-0666 | Trupti Patel, M.D., PLLC 15130 Levan Road Suite 48 Livonia MI 48154-5027 Ph: (734) 421-4242 |
| NPI Number | 1568602126 |
|---|---|
| Provider Enumeration Date | 02/23/2009 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Medicare PECOS PAC ID | 5799832325 |
|---|---|
| Medicare Enrollment ID | O20090416000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568602126 | NPI | - | NPPES |
| 1508822362 | Other | TYPE 01 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| 208M00000X | Hospitalist | 4301060723 (Michigan) | Secondary |
| Provider Name | Trupti R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508822362 PECOS PAC ID: 2961567508 Enrollment ID: I20090216000426 |
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