Organization
NEUROMEDICINE CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYANTIBHAI PATEL M.D. (PHYSICIAN)
(480) 615-7800
Entity
Organization
Contact information
Practice address
1520 S DOBSON RD, SUITE 213A, MESA, AZ 85202-4725
(480) 615-7800
(480) 615-7803
Mailing address
1520 S DOBSON RD, SUITE 213A, MESA, AZ 85202-4725
(480) 615-7800
(480) 615-7803
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
28930
AZ
174400000X
Specialist
Primary
30177
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z0871
JP-HEALTHNET PROVIDER ID
AZ
01
—
1Z0888
AN-HEALTHNET PROVIDER ID
AZ
01
—
5085187
JP--AETNA PROVIDER ID
AZ
05
—
557803
—
AZ
05
—
691883
—
AZ
01
—
7550417
AN--AETNA PROVIDER ID
AZ
01
—
AZ0713850
ASHOK NARAYAN, MD (BCBS)
AZ
01
—
AZ0881440
JAYANTIBHAI PATEL, MD (BC
AZ
Enumeration date
08/09/2005
Last updated
08/22/2020
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