Provider Demographics
NPI:1093887077
Name:PATEL, JIGAR BHADRESH (MD)
Entity Type:Individual
Prefix:DR
First Name:JIGAR
Middle Name:BHADRESH
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7942 N GLEN DR
Mailing Address - Street 2:APT 3094
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7224
Mailing Address - Country:US
Mailing Address - Phone:214-453-7997
Mailing Address - Fax:
Practice Address - Street 1:4500 S LANCASTER RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7167
Practice Address - Country:US
Practice Address - Phone:214-857-1151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4424207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine