Purvi S Patel, MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301094535 Issued in MI

Legal business name

PURVI S PATEL, MD PC

Practice address

18161 W 12 Mile Rd Ste 2
Lathrup Village, MI 48076-2662

Phone

(248) 552-1200

Fax

(248) 552-1201

NPI assigned

Aug 16, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Purvi Suryakant Patel, MD

Title

Ceo

Phone

(440) 289-5828

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1861740193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18161 W 12 MILE RD STE 2",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762662",
            "telephone_number": "248-552-1200",
            "fax_number": "248-552-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18161 W 12 MILE RD STE 2",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762662",
            "telephone_number": "248-552-1200",
            "fax_number": "248-552-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURVI S PATEL, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PURVI",
        "authorized_official_middle_name": "SURYAKANT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-289-5828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301094535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Lathrup Village, MI
• Providers in Lathrup Village, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.