# JAYANT R. PATEL, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407898828
- **Authorized official:** DR. JAYANT R PATEL MD (OWNER/ PHYSICIAN)
- **Authorized official phone:** (215) 785-9595

## Contact information

- **Practice address:** 501 BATH RD, SUITE 209A, BRISTOL, PA 19007-3101
- **Practice address phone:** (215) 785-9595
- **Practice address fax:** (215) 785-9891
- **Mailing address:** 501 BATH RD, SUITE 209A, BRISTOL, PA 19007-3101
- **Mailing address phone:** (215) 785-9595
- **Mailing address fax:** (215) 785-9891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD037709L | PA | Yes |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 533330 | AETNA | — |
| 01 | — | DE5449 | RAILROAD MEDICARE | PA |