Individual
ANIL R PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1205 RICHARDSON ST, PORT HURON, MI 48060-3548
(810) 985-8144
Mailing address
1205 RICHARDSON ST, PORT HURON, MI 48060-3548
(810) 985-8144
(810) 985-9020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AP044104
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107398
CARE CHOICES
MI
01
—
110012474
RAILROAD MEDICARE NUMBER
MI
01
—
1107408741
BCBSM PROVIDER NUMBER
MI
01
—
4071398
AETNA PROVIDER NUMBER
MI
01
—
72093A
HAP
MI
Enumeration date
05/04/2006
Last updated
10/03/2011
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