Individual
SHIVANI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4200 WHITEHALL DR, SUITE 250, ANN ARBOR, MI 48105-9694
(734) 677-3376
(734) 572-3229
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301101135
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2012
Last updated
03/16/2018
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