Provider Demographics
NPI:1619133899
Name:PATEL, JYOTI NARENDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:JYOTI
Middle Name:NARENDRA
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JYOTI
Other - Middle Name:NARENDRA
Other - Last Name:SARAIYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:439 REMINGTON DR E
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-4003
Mailing Address - Country:US
Mailing Address - Phone:972-317-3445
Mailing Address - Fax:
Practice Address - Street 1:2519 SCRIPTURE ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2324
Practice Address - Country:US
Practice Address - Phone:940-381-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-06
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG17442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CQ499OtherBLUE CROSS BLUE SHIELD
TX100053103Medicaid
TX100053104OtherMEDICAID CSHCH
TX100053101Medicaid
TXD67522Medicare UPIN
TX100053104OtherMEDICAID CSHCH
TX100053103Medicaid