Individual
JAYLATA MADHUSUDAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5151 MONROE ST, #200, TOLEDO, OH 43623-3462
(419) 475-4449
(419) 479-7039
Mailing address
P.O. BOX 8970, TOLEDO, OH 43623-8970
(419) 517-1758
(419) 517-1399
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35 052768
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04393
PARAMOUNT HEALTH CARE
—
05
—
0655465
—
OH
01
—
242482-000
MAGELLAN HEALTH SERVICES
—
Enumeration date
03/21/2007
Last updated
08/03/2011
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