Individual
DR. JAY NITIN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(815) 341-4456
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(815) 341-4456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036137857
IL
207R00000X
Internal Medicine Physician
A163312
CA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
036137857
IL
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
A163312
CA
207RC0000X
Cardiovascular Disease Physician
036137857
IL
207RC0000X
Cardiovascular Disease Physician
A163312
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2012
Last updated
02/06/2025
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