Individual
DR. JITENDRA K PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
723 8TH ST, PORTSMOUTH, OH 45662-4020
(740) 353-5306
(740) 353-8131
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35069645P
OH
207QA0000X
Adolescent Medicine (Family Medicine) Physician
35069645P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207565
—
OH
01
—
9371761
MEDICARE PTAN
OH
Enumeration date
12/06/2005
Last updated
12/27/2021
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