Individual
DR. JAYRAG A PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 WALNUT ST, STE L30, PHILADELPHIA, PA 19106
(212) 925-6402
(215) 925-0262
Mailing address
216 MILL ST, BRISTOL, PA 19007-4809
(215) 781-2020
(215) 788-3504
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
244576
NY
207W00000X
Ophthalmology Physician
25MA08472100
NJ
207W00000X
Ophthalmology Physician
Primary
MD433857
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
621B1
EMPIRE BLUE CROSS BLUE SHIELD
NY
Enumeration date
06/21/2007
Last updated
08/14/2019
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