Individual
DIPTI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4160 JOHN R ST STE 925, DETROIT, MI 48201-2017
(877) 486-7978
(313) 745-2777
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(248) 581-5731
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704282470
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821488370
—
MI
Enumeration date
02/04/2015
Last updated
05/08/2015
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