Provider Demographics
NPI:1780393520
Name:PATEL, VEERA JAYANTILAL
Entity type:Organization
Organization Name:PATEL, VEERA JAYANTILAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VEERA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:574-361-3100
Mailing Address - Street 1:PO BOX 468
Mailing Address - Street 2:
Mailing Address - City:THREE RIVERS
Mailing Address - State:MI
Mailing Address - Zip Code:49093-0468
Mailing Address - Country:US
Mailing Address - Phone:574-361-3100
Mailing Address - Fax:268-273-7413
Practice Address - Street 1:1021 HILL ST STE 100
Practice Address - Street 2:
Practice Address - City:THREE RIVERS
Practice Address - State:MI
Practice Address - Zip Code:49093-2744
Practice Address - Country:US
Practice Address - Phone:574-361-3100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty