Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Poonam Patel, MD

Individual provider Internal Medicine Physician · NPI 1770005902

Poonam Patel, MD is an Internal Medicine in Eastpointe, Michigan. Qualified in 2017, 9 years ago. Practices with Dedicated Physicians Group of Michigan, PLLC, a 13-clinician group and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
9
Licensed in
FL, MI
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

21811 Kelly Rd
Eastpointe, MI 48021-2704
Phone: (586) 649-3388
Fax: (586) 842-3766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301504732 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME157909 (FL)

Record details

NPI number1770005902
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 10, 2017
Last updated in NPPESDecember 28, 2023
Certification dateDecember 28, 2023
Mailing address21811 Kelly Rd, Eastpointe, MI 48021-2704

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Dedicated Physicians Group Of Michigan, Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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