Provider Demographics
NPI:1720079114
Name:PATEL, JAYESH AMBUBHAI (MD)
Entity Type:Individual
Prefix:DR
First Name:JAYESH
Middle Name:AMBUBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3443 DICKERSON PIKE STE 210
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2522
Mailing Address - Country:US
Mailing Address - Phone:615-234-6411
Mailing Address - Fax:615-732-2430
Practice Address - Street 1:3443 DICKERSON PIKE STE 210
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2522
Practice Address - Country:US
Practice Address - Phone:615-234-6411
Practice Address - Fax:615-732-2430
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-03
Last Update Date:2020-03-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN25056207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3851586Medicaid
TN3851586Medicare ID - Type Unspecified
TN3851586Medicaid