Individual
JAYANTILAL RAOJIBHAL PATEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 BATH RD, STE 209A, BRISTOL, PA 19007-3101
(215) 785-9595
(215) 785-9891
Mailing address
501 BATH RD, STE 209A, BRISTOL, PA 19007-3101
(215) 785-9595
(215) 785-9891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD037709L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014684720001
—
PA
01
—
2178345001
KEYSTONE HEALTH PLAN
PA
Enumeration date
06/16/2005
Last updated
07/08/2007
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