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Organization

MAYUR PATEL MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAYUR PATEL MD (OWNER OF ENTITY)
(734) 283-7511
Entity
Organization

Contact information

Practice address
15750 NORTHLINE RD, SOUTHGATE, MI 48195-2378
(734) 283-7511
(734) 283-6880
Mailing address
15750 NORTHLINE RD, SOUTHGATE, MI 48195-2378
(734) 283-7511
(734) 283-6880

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary

Other

Enumeration date
09/20/2022
Last updated
09/20/2022
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