Individual
DR. SURESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2816 FOX MEADOW LN, JONESBORO, AR 72404-9346
(870) 336-1675
(870) 336-1679
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-3492
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
E1749
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133430001
—
AR
01
—
187046
STATE LICENSE
NY
05
—
209782002
—
MO
01
—
E1749
STATE LICENSE
AR
Enumeration date
06/21/2005
Last updated
03/07/2023
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