Provider Demographics
NPI:1811647654
Name:PATEL, KRISHA (MD)
Entity type:Individual
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First Name:KRISHA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3901 BEAUBIEN ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-2196
Mailing Address - Country:US
Mailing Address - Phone:313-745-7496
Mailing Address - Fax:313-343-4756
Practice Address - Street 1:3901 BEAUBIEN ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2196
Practice Address - Country:US
Practice Address - Phone:313-745-7496
Practice Address - Fax:313-343-4756
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-25
Last Update Date:2025-06-03
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Provider Licenses
StateLicense IDTaxonomies
MI43015148102080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine