Patel, Jagdish A

Patel, Jagdish A is an individual health care provider with primary practice located at 644 W 12Th St , Tracy CA 95376-3437. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Patel, Jagdish A can be contacted via phone (209) 832-8984.

Contact Information

Primary practice address
644 W 12Th St Tracy CA 95376-3437
Phone: (209) 832-8984
Fax: (209) 832-8988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X A31816 California
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X A31816 California

Profile Details

NPI number 1407897481
LBN Legal business name Patel, Jagdish A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 7th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407897481 NPPES
California Other A31816 LICENSE NUMBER

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