Individual
JAIKRISHAN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(800) 836-7536
Mailing address
456 N 5TH ST APT 22D, PHILADELPHIA, PA 19123-4029
(469) 288-5397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34979750
TX
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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