Individual
MR. JAYESH PANCHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2505 S KELLY AVE, EDMOND, OK 73013
(405) 340-9949
(405) 330-2132
Mailing address
2505 S KELLY AVE, EDMOND, OK 73013
(405) 340-9949
(405) 330-2132
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
20347
OK
Other
Enumeration date
07/12/2006
Last updated
09/15/2011
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