Patel, Dipa Suman

Patel, Dipa Suman is an individual health care provider with primary practice located at 555 Midtowne St Ne Suite 301, Grand Rapids MI 49503-5729. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Patel, Dipa Suman can be contacted via phone (616) 248-8864.

Contact Information

Primary practice address
555 Midtowne St Ne Suite 301 Grand Rapids MI 49503-5729
Phone: (616) 248-8864
Fax: (616) 248-8874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301067695 Michigan

Profile Details

NPI number 1205836962
LBN Legal business name Patel, Dipa Suman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Mar 18th, 2024 - about 2 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 1205836962 NPPES
Michigan MEDICAID 4687596
Michigan MEDICAID 4217043

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