Individual
AJAY ARVIND PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5059
Mailing address
3092 SCHOOLHOUSE, TROY, MI 48083-5461
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036119196
IL
207P00000X
Emergency Medicine Physician
4301093985
MI
207P00000X
Emergency Medicine Physician
Primary
N6566
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629216841
TRI CARE SOUTH
TX
05
—
214951002
—
TX
05
—
214951003
—
TX
01
—
8CK893
BCBS TX
TX
01
—
P00975219
RAILROAD
TX
Enumeration date
01/26/2009
Last updated
01/10/2012
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