Organization
PEDIATRIC SPECIALTY PHYSICIANS, PC
Active
Other names
JAYESH P. PATEL, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYESH P PATEL M.D. (PRESIDENT)
(260) 408-5801
Entity
Organization
Contact information
Practice address
7429 INVERNESS COMMONS, FORT WAYNE, IN 46804-3837
(260) 408-5801
(888) 949-8258
Mailing address
7429 INVERNESS COMMONS, FORT WAYNE, IN 46804-3837
(260) 408-5801
(888) 949-8258
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200301280
—
IN
Enumeration date
10/16/2006
Last updated
08/25/2016
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