Individual
JAIPRAKASH N PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 SALUDA RIDGE CT, WEST COLUMBIA, SC 29169-3455
(803) 794-3320
(803) 749-3157
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16523
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16523
STATE LICENSE
SC
05
—
165234
—
SC
Enumeration date
03/23/2006
Last updated
07/20/2021
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