Provider Demographics
NPI:1053608687
Name:PATEL, SUHAG MAHESHBHAI (MD)
Entity type:Individual
Prefix:
First Name:SUHAG
Middle Name:MAHESHBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:3001 BROADWAY ST NE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-2195
Mailing Address - Country:US
Mailing Address - Phone:612-871-1145
Mailing Address - Fax:612-870-5491
Practice Address - Street 1:10150 NIAGARA LN N # 200
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-7588
Practice Address - Country:US
Practice Address - Phone:612-871-1145
Practice Address - Fax:612-870-5491
Is Sole Proprietor?:No
Enumeration Date:2011-07-04
Last Update Date:2024-08-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301099393207RG0100X
IAMD-45614207RG0100X
MN69890207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology