Provider Demographics
NPI:1437594439
Name:PATEL, TEJAL HASMUKHLAL (PA-C)
Entity Type:Individual
Prefix:
First Name:TEJAL
Middle Name:HASMUKHLAL
Last Name:PATEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:726 S CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-4926
Mailing Address - Country:US
Mailing Address - Phone:615-893-7786
Mailing Address - Fax:615-893-7786
Practice Address - Street 1:726 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-4926
Practice Address - Country:US
Practice Address - Phone:615-893-7786
Practice Address - Fax:615-893-7786
Is Sole Proprietor?:No
Enumeration Date:2013-05-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ025277Medicaid