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Individual

JIMISHA PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1864 TAMARACK ROAD, NEWARK, OH 43055
(220) 564-4939
(220) 564-4944
Mailing address
1864 TAMARACK ROAD, NEWARK, OH 43055
(220) 564-4939
(220) 564-4944

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35123903
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
35123903
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0105233
OH
Enumeration date
06/17/2010
Last updated
04/14/2026
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