Individual
DR. SURESH C. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-2436
Mailing address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-2436
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
4301033094
MI
2085R0202X
Diagnostic Radiology Physician
4301033094
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128760710
—
MI
01
—
700H262300
BLUE CROSS-BLUE CROSS
—
01
—
SP033094
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
11/14/2018
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