Patel, Jagdish
Patel, Jagdish is an individual health care provider with primary practice located at 2150 Gettler St Ste 455 , Dyer IN 46311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Patel, Jagdish can be contacted via phone (219) 864-1100.Contact Information
Primary practice address
2150 Gettler St Ste 455
Dyer IN 46311
Phone: (219) 864-1100
Fax: (219) 864-1118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036056772 | Illinois |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01029938A | Indiana |
Profile Details
| NPI number | 1194763375 |
|---|---|
| LBN Legal business name | Patel, Jagdish |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jul 19th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194763375 | NPPES |
| Illinois | Other | 060070689 | RR MEDICARE |
| Illinois | Other | 000000091333 | RR MEDICARE |
| Illinois | MEDICAID | 100322640 | RR MEDICARE |
| Illinois | Other | 06070691 | RR MEDICARE |
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