Individual
ISHAN SURESH PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3252 DAVENPORT LN, ROCHESTER HILLS, MI 48309-4284
(248) 229-6355
Mailing address
3252 DAVENPORT LN, ROCHESTER HILLS, MI 48309-4284
(248) 229-6355
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301510057
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2020
Last updated
07/06/2023
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