Individual
DR. JAY SUBHASH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 426-6341
(253) 426-6344
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD60467030
WA
207Q00000X
Family Medicine Physician
ML60294892
WA
208M00000X
Hospitalist Physician
Primary
MD60467030
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020998
—
WA
Enumeration date
06/28/2012
Last updated
06/03/2021
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