Individual
SHIV PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2097
(601) 968-1000
Mailing address
1225 N STATE ST, JACKSON, MS 39202-2064
(769) 268-6770
(769) 268-6769
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MS
Other
Enumeration date
02/12/2024
Last updated
04/06/2026
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