3990 JOHN R ST 5 HUDSON
DETROIT, MI 48201-2018 US PECOS Enrolled
Overview
Diixa Patel is a Internal Medicine Physician in the DETROIT area and has over 19 years of experience. Diixa Patel primary office location is at 3990 JOHN R ST and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 2005 The NPI number is 1255560827 and the information was updated approximately 3 years ago.
Diixa Patel is affiliated with one medical group in the DETROIT area, PERMANENTE MEDICAL GROUP INC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 4301094913 | MI |
| A130144 | CA |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | CA | Y |
| Internal Medicine Physician (Infectious Disease) - Taxonomy Code 207RI0200X | MI | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20160216000744 |
| PECOS Individual PAC ID: | 1850522475 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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