Individual
VISHAL PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5582
Mailing address
1100 ROBLEY DR APT 4208, LAFAYETTE, LA 70503-5528
(972) 408-6256
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
26889
MS
207P00000X
Emergency Medicine Physician
57553
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100858560
—
KY
Enumeration date
03/29/2017
Last updated
03/10/2023
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