Individual
DR. JAGDISH PATEL
Active
Individual
DR. JAGDISH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01029938A
IN
207RC0000X
Cardiovascular Disease Physician
036056772
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091333
ANTHEM
IN
01
—
060070689
RR MEDICARE
IL
01
—
06070691
RR MEDICARE
IN
05
—
100322640
—
IN
Enumeration date
06/02/2006
Last updated
07/19/2018
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