Provider Demographics
NPI:1720570955
Name:NAGAR, ANJALI PATEL (DO)
Entity type:Individual
Prefix:
First Name:ANJALI
Middle Name:PATEL
Last Name:NAGAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ANJALI
Other - Middle Name:
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DR STE J2000
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9484
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:
Practice Address - Street 1:37595 7 MILE RD STE 210
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1489
Practice Address - Country:US
Practice Address - Phone:734-853-5694
Practice Address - Fax:734-430-9388
Is Sole Proprietor?:No
Enumeration Date:2018-06-04
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA95627207Q00000X
MI5101028565207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine