Individual
MANUBHAI S PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2969 CURRAN DR N, STE 200, JACKSON, MS 39216-4121
(601) 974-5600
(601) 974-5699
Mailing address
1227 N STATE ST, STE 101, JACKSON, MS 39202-2002
(601) 355-2485
(601) 353-1463
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
14074
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118200
—
MS
01
—
5275585
AETNA HEALTHCARE
—
Enumeration date
06/14/2005
Last updated
12/08/2022
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