Individual
DR. JAY U PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2929 LAKE PARK DR, LAKE SPIVEY, GA 30236-4131
(773) 726-2682
Mailing address
PO BOX 415250, BOSTON, MA 02241-5250
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01058826
IN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
079216
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200484790
—
IN
Enumeration date
10/19/2005
Last updated
11/18/2025
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