Individual
DIMPAL RASHMIKANT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
311 MACK AVE FL 5, DETROIT, MI 48201-2466
(313) 832-0500
(313) 966-8400
Mailing address
311 MACK AVE FL 5, DETROIT, MI 48201-2466
(313) 832-0500
(313) 966-8400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-002968
IL
363A00000X
Physician Assistant
Primary
5601010654
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209118
MEDICARE PTAN LOCALITY 15
IL
01
—
209119
MEDICARE PTAN LOCALITY 16
IL
Enumeration date
06/12/2007
Last updated
03/30/2026
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