Individual
DR. JAISHRI B PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
212 S 13TH AVE, LAUREL, MS 39440-4226
(604) 649-3821
(601) 649-3827
Mailing address
212 S 13TH AVE, LAUREL, MS 39440-4226
(604) 649-3821
(601) 649-3827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
07912
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016204
—
MS
Enumeration date
01/05/2007
Last updated
07/08/2007
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