Individual
DR. KANDARP B PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
86 STONEBRIDGE BLVD, JACKSON, TN 38305-2038
(731) 300-0227
(731) 300-0230
Mailing address
86 STONEBRIDGE BLVD, JACKSON, TN 38305-2038
(731) 300-0227
(731) 300-0230
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31718
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165542
UNISON HEALTH PLAN
TN
05
—
3845500
—
TN
01
—
4294545
BLUE CROSS
TN
Enumeration date
04/25/2006
Last updated
11/30/2016
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