Individual
JWALANT R. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1619 N 9TH ST, SUITE 2A, STROUDSBURG, PA 18360-6501
(610) 628-7920
(610) 821-2853
Mailing address
1619 N 9TH ST, SUITE 2A, STROUDSBURG, PA 18360-6501
(610) 628-7920
(610) 821-2853
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
0101252613
VA
207RN0300X
Nephrology Physician
25MA09917300
NJ
207RN0300X
Nephrology Physician
Primary
MD448616
PA
390200000X
Student in an Organized Health Care Education/Training Program
BP1-0031847
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912168865
—
VA
Enumeration date
06/23/2008
Last updated
08/31/2016
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