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Individual

RAVI P PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
36430 FORD RD, WESTLAND, MI 48185-2211
(734) 595-7002
Mailing address
36430 FORD RD, WESTLAND, MI 48185-2211
(734) 595-7002
(734) 595-7065

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302034096
MI
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5302034096
MI
2255A2300X
Athletic Trainer
5302034096
MI

Other

Enumeration date
12/11/2014
Last updated
01/18/2020
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