Provider Demographics
NPI:1982055018
Name:PATEL, AADIL (DPM)
Entity type:Individual
Prefix:
First Name:AADIL
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28460 SOUTHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LATHRUP VILLAGE
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2820
Mailing Address - Country:US
Mailing Address - Phone:248-353-0096
Mailing Address - Fax:
Practice Address - Street 1:28460 SOUTHFIELD RD
Practice Address - Street 2:
Practice Address - City:LATHRUP VILLAGE
Practice Address - State:MI
Practice Address - Zip Code:48076-2820
Practice Address - Country:US
Practice Address - Phone:248-353-0096
Practice Address - Fax:248-809-6255
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901400346213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist