Provider Demographics
NPI:1851442677
Name:PATEL, JAIMITA V (MD)
Entity Type:Individual
Prefix:DR
First Name:JAIMITA
Middle Name:V
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO DRAWER B, HWY 421
Mailing Address - Street 2:1000 MEDICAL CENTER ROAD
Mailing Address - City:MAMERS
Mailing Address - State:NC
Mailing Address - Zip Code:27552
Mailing Address - Country:US
Mailing Address - Phone:910-893-5402
Mailing Address - Fax:910-893-2567
Practice Address - Street 1:84 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:ANGIER
Practice Address - State:NC
Practice Address - Zip Code:27501-6087
Practice Address - Country:US
Practice Address - Phone:919-639-2122
Practice Address - Fax:919-639-8685
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2010-01-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2006-01781207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine