Provider Demographics
NPI:1134637051
Name:PATEL, JIGESH (DC)
Entity Type:Individual
Prefix:
First Name:JIGESH
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8121 GEORGIA AVE STE 650
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4951
Mailing Address - Country:US
Mailing Address - Phone:301-587-4000
Mailing Address - Fax:
Practice Address - Street 1:8121 GEORGIA AVE STE 650
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4951
Practice Address - Country:US
Practice Address - Phone:301-587-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-12
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03921111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor