Individual
SUDHANSHU PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28963 LITTLE MACK AVE, SUITE 101, ST CLAIR SHORES, MI 48081-3015
(586) 447-0700
(586) 498-0707
Mailing address
28963 LITTLE MACK AVE STE 101, SAINT CLAIR SHORES, MI 48081-3017
(586) 447-0700
(586) 447-0795
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301050236
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2383402001
CIGNA
—
05
—
2666229-10
—
MI
01
—
5863128
AETNA
—
01
—
P51267
BCN
—
Enumeration date
10/27/2005
Last updated
09/22/2025
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