Individual
DR. JAI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
438 ADAM SHEPHERD PKWY STE 1, SHEPHERDSVILLE, KY 40165-6640
(502) 543-1055
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55252
KY
390200000X
Student in an Organized Health Care Education/Training Program
0116031805
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207Q00000X
FAMILY MEDICINE
VI
Enumeration date
06/18/2018
Last updated
07/12/2021
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