Organization
ADVANCE MEDICAL HOME PHYSICIANS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANGITA C. PATEL MD (OWNER/PRESIDENT)
(248) 250-9920
Entity
Organization
Contact information
Practice address
2888 E LONG LAKE RD STE 150, TROY, MI 48085-7029
(248) 250-9920
(248) 250-9926
Mailing address
2888 E LONG LAKE RD STE 150, TROY, MI 48085-7029
(248) 250-9920
(248) 250-9926
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0102X
Surgical Critical Care Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103524086
—
MI
Enumeration date
09/22/2009
Last updated
10/18/2019
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