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Organization

JAY U PATEL MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAY U PATEL M.D. (MEDICAL DIRECTOR)
(773) 726-2682
Entity
Organization

Contact information

Practice address
8242 CALUMET AVE, SUITE 2-A, MUNSTER, IN 46321-1758
(773) 726-2682
Mailing address
1359 W FULLERTON AVE, UNIT 4, CHICAGO, IL 60614-5196
(773) 726-2682

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
01058826A
IN

Other

Enumeration date
08/08/2007
Last updated
08/08/2007
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