Individual
DR. JAY SANJAY PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 MONTGOMERY DR, ANDERSON, SC 29621-3334
(864) 225-5597
(864) 225-5835
Mailing address
2320 E NORTH ST STE K, GREENVILLE, SC 29607-1250
(850) 339-1359
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
29492
SC
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
29492
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294924
—
SC
01
—
6089
MEDICARE GROUP
—
01
—
AA22586089
MEDICARE PTAN
SC
Enumeration date
01/20/2006
Last updated
08/24/2019
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