Individual
DR. JAYESH P PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11115 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-5400
(260) 266-5405
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
(260) 458-5734
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01042344A
IN
2080P0203X
Pediatric Critical Care Medicine Physician
01042344
IN
Other
Enumeration date
06/30/2005
Last updated
10/07/2022
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