Individual
JAY PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 NORTH NEW BALLAS ROAD, SUITE 230, ST. LOUIS, MO 63141-6848
(314) 266-2066
(314) 266-2069
Mailing address
425 NORTH NEW BALLAS ROAD, SUITE 230, ST. LOUIS, MO 63141-6848
(314) 266-2066
(314) 266-2069
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2021028383
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316359565
—
MO
Enumeration date
05/22/2014
Last updated
05/30/2024
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