Individual
PURAJ PRAVINCHANDRA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 661-7960
Mailing address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 661-7960
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101018892
MI
2086S0129X
Vascular Surgery Physician
37599
SC
Other
Enumeration date
08/02/2010
Last updated
02/02/2017
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