Provider Demographics
NPI:1114365350
Name:PATEL, KRISHNA JAYDEV (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISHNA
Middle Name:JAYDEV
Last Name:PATEL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:101 N PLAINS INDUSTRIAL RD
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-2360
Mailing Address - Country:US
Mailing Address - Phone:203-949-2700
Mailing Address - Fax:203-949-2712
Practice Address - Street 1:435 LEWIS AVE
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06451-2101
Practice Address - Country:US
Practice Address - Phone:203-949-2700
Practice Address - Fax:203-949-2712
Is Sole Proprietor?:No
Enumeration Date:2013-06-10
Last Update Date:2020-10-30
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Provider Licenses
StateLicense IDTaxonomies
CT627712085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology