Provider Demographics
NPI:1871706770
Name:PATEL, BIPINCHANDRA BHULABHAI (DO)
Entity type:Individual
Prefix:DR
First Name:BIPINCHANDRA
Middle Name:BHULABHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15370 LEVAN ROAD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-1903
Mailing Address - Country:US
Mailing Address - Phone:734-462-8401
Mailing Address - Fax:734-462-1410
Practice Address - Street 1:15370 LEVAN ROAD
Practice Address - Street 2:SUITE 1
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1903
Practice Address - Country:US
Practice Address - Phone:734-462-8401
Practice Address - Fax:734-462-1410
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI51010170802086S0129X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery