Individual
DR. JAYKRISHNA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
209 IRISH CEMETERY RD, TAZEWELL, TN 37879-3611
(423) 626-2225
(423) 626-0560
Mailing address
209 IRISH CEMETERY RD, PO BOX 383, TAZEWELL, TN 37879-3611
(423) 626-2225
(423) 626-0560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13732
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3707302
—
TN
Enumeration date
07/19/2006
Last updated
07/08/2007
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