Provider Demographics
NPI:1497915599
Name:PATEL, JESAL CHINUBHAI (MD)
Entity Type:Individual
Prefix:DR
First Name:JESAL
Middle Name:CHINUBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7951 E MAPLEWOOD AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4758
Mailing Address - Country:US
Mailing Address - Phone:303-930-7803
Mailing Address - Fax:303-930-7860
Practice Address - Street 1:6031 E WOODMEN RD STE 200
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-2625
Practice Address - Country:US
Practice Address - Phone:719-577-2555
Practice Address - Fax:719-597-6425
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT6851476-1205207R00000X
AZ47626207RH0003X
CODR.0054503207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ809211Medicaid
CO87628759Medicaid
AZ809211Medicaid
CO376454YK91Medicare PIN