Provider Demographics
NPI:1619266053
Name:PATEL, JINA NIKHIL (MD)
Entity Type:Individual
Prefix:
First Name:JINA
Middle Name:NIKHIL
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JINA
Other - Middle Name:KANJI
Other - Last Name:CHHEDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2564 E RED CEDAR LN
Mailing Address - Street 2:APT 202
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83716
Mailing Address - Country:US
Mailing Address - Phone:817-614-4782
Mailing Address - Fax:
Practice Address - Street 1:100 NORTH ACADEMY AVENUE
Practice Address - Street 2:GEISINGER MEDICAL CENTER
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822
Practice Address - Country:US
Practice Address - Phone:570-271-6211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program