Provider Demographics
NPI:1619038197
Name:JS PATEL MD PC
Entity Type:Organization
Organization Name:JS PATEL MD PC
Other - Org Name:WE CARE MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAYKRISHNA
Authorized Official - Middle Name:S
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-626-2225
Mailing Address - Street 1:209 IRISH CEMETERY RD
Mailing Address - Street 2:
Mailing Address - City:TAZEWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37879
Mailing Address - Country:US
Mailing Address - Phone:423-626-2225
Mailing Address - Fax:423-626-0560
Practice Address - Street 1:209 IRISH CEMETERY RD
Practice Address - Street 2:
Practice Address - City:TAZEWELL
Practice Address - State:TN
Practice Address - Zip Code:37879-3611
Practice Address - Country:US
Practice Address - Phone:423-626-2225
Practice Address - Fax:423-626-0560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13732207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3707302Medicare ID - Type Unspecified