Individual
JAYANTIBHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2979 W ELLIOT RD, SUITE 2, CHANDLER, AZ 85224-1641
(480) 615-7800
(480) 615-7803
Mailing address
2979 W ELLIOT RD, SUITE 2, CHANDLER, AZ 85224-1641
(480) 615-7800
(480) 615-7803
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
28930
AZ
2084N0400X
Neurology Physician
Primary
28930
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z0871
HEALTHNET ID
AZ
01
—
5085187
AETNA INSURANCE
AZ
05
—
557803
—
AZ
01
—
AZ0881440
BCBS PROVIDER ID
AZ
Enumeration date
08/10/2005
Last updated
05/01/2013
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