# JATEEN C PATEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013004670
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | 036-128374 | IL | Yes |
| 2086S0120X | Pediatric Surgery Physician | 41777 | CO | — |
| 2086S0120X | Pediatric Surgery Physician | 98543 | GA | — |
| 2086S0120X | Pediatric Surgery Physician | PT13390 | ND | — |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 04/21/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036-128374 | — | IL |
| 05 | — | 20333536 | — | CO |