SearchMichigan2084N0400X

Prabhumallikarjun Patil, M.D

NPI 1124574009 · on the registry since 2016 · sole proprietor

Practice

Address
930 E Lafayette St
Detroit, MI 48207
Phone
(313) 680-9977

Registry record

Primary taxonomy
2084N0400X
2084N0400X
Also registered as
390200000X
Licence states on file
MI, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan