Individual
JASHVANT GANGARAM PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 SANTA ROSA ST, STE. 201, SAN LUIS OBISPO, CA 93405-5825
(805) 544-7246
(805) 597-8354
Mailing address
PO BOX 4659, SAN LUIS OBISPO, CA 93403-4659
(805) 786-4878
(805) 597-8354
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A75746
CA
Other
Enumeration date
01/06/2006
Last updated
09/01/2010
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