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Individual
MR. KAUSHIKKUMAR KANTILAL PATEL
Active
Individual
MR. KAUSHIKKUMAR KANTILAL PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012613
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501012613
STATE OF MICHIGAN
MI
05
—
5501012613
—
MI
Enumeration date
07/30/2010
Last updated
11/24/2018
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