Provider Demographics
NPI:1710984752
Name:PATEL, JIGNASA J (MD)
Entity Type:Individual
Prefix:DR
First Name:JIGNASA
Middle Name:J
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1850 W ARLINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5704
Mailing Address - Country:US
Mailing Address - Phone:252-413-6740
Mailing Address - Fax:252-752-6600
Practice Address - Street 1:1850 W ARLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5704
Practice Address - Country:US
Practice Address - Phone:252-413-6202
Practice Address - Fax:252-758-8333
Is Sole Proprietor?:No
Enumeration Date:2005-07-06
Last Update Date:2021-05-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9300558207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8965812Medicaid
NC65812OtherBCBS NC
NC65812OtherBCBS NC
NC2190734DMedicare UPIN