Individual
DR. GHANSHYAM N PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18645 CANAL RD, SUITE 3, CLINTON TOWNSHIP, MI 48038-5822
(586) 228-7568
(586) 228-7644
Mailing address
PO BOX 380476, CLINTON TOWNSHIP, MI 48038-0066
(586) 228-7568
(586) 228-7644
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
GP040631
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3279758
—
MI
Enumeration date
07/20/2005
Last updated
11/01/2012
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