Individual
VIPUL R. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6773 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 661-6100
Mailing address
6773 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 661-6100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
066701
MI
207RA0401X
Addiction Medicine (Internal Medicine) Physician
4301066701
MI
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
4301066701
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322386010
—
MI
01
—
700H262220
BLUE CROSS-BLUE CROSS
—
01
—
VP066701
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
11/13/2023
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