Individual
DR. NIRAV PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 CENTRE PLAZA DR, JACKSON, TN 38305-2862
(731) 512-0104
(731) 668-7388
Mailing address
17 CENTRE PLAZA DR, JACKSON, TN 38305-2862
(731) 512-0104
(731) 668-7388
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
000481
GA
207RC0000X
Cardiovascular Disease Physician
Primary
48662
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396033379
NPI
TN
05
—
1529362
—
TN
Enumeration date
05/03/2007
Last updated
10/30/2023
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