Individual
DR. JASH I PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 GAUSE BLVD, SLIDELL, LA 70458-3016
(985) 643-5476
(985) 641-2854
Mailing address
1310 GAUSE BLVD, SLIDELL, LA 70458-3016
(985) 643-5476
(985) 641-2854
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
07995R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00232796
—
MS
05
—
1908550
—
LA
01
—
2093912
ECFMG
—
Enumeration date
06/17/2005
Last updated
05/19/2015
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