Patel, Renuka M

Patel, Renuka M is an individual health care provider with primary practice located at 205 N East Ave Imaging Department, Jackson MI 49201-1753. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Patel, Renuka M can be contacted via phone (517) 783-2612.

Contact Information

Primary practice address
205 N East Ave Imaging Department Jackson MI 49201-1753
Phone: (517) 783-2612
Fax: (517) 783-5991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301044604 Michigan

Profile Details

NPI number 1831190461
LBN Legal business name Patel, Renuka M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Nov 6th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831190461 NPPES
Michigan Other 4301044604 STATE OF MICHIGAN MEDICAL LICENSE
Michigan MEDICAID 4383939 STATE OF MICHIGAN MEDICAL LICENSE
Michigan Other 3003802611 STATE OF MICHIGAN MEDICAL LICENSE
Michigan Other 300129519 STATE OF MICHIGAN MEDICAL LICENSE

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