Organization
JITENDRA K. PATEL M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JITENDRA K PATEL M.D (PRESIDENT)
(740) 353-5306
Entity
Organization
Contact information
Practice address
723 8TH ST, PORTSMOUTH, OH 45662-4265
(740) 353-5306
(740) 353-8131
Mailing address
723 8TH ST, PORTSMOUTH, OH 45662-4265
(740) 353-5306
(740) 353-8131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35069645P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000187307
BCBS
OH
05
—
0207565
—
OH
01
—
2806977
GROUP MEDICAID
OH
05
—
64952237
—
KY
01
—
9371761
MEDICARE GROUP #
OH
Enumeration date
10/24/2006
Last updated
08/28/2012
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