Individual
JAYANTIBHAI PATEL
Active
Individual
JAYANTIBHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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