Patel, Jay B

Patel, Jay B is an individual health care provider with primary practice located at 610 N Michigan St Ste 306 , South Bend IN 46601-1079. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Patel, Jay B can be contacted via phone (574) 647-6500.

Contact Information

Primary practice address
610 N Michigan St Ste 306 South Bend IN 46601-1079
Fax: (574) 647-6518
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 01065995A Indiana

Profile Details

NPI number 1316104839
LBN Legal business name Patel, Jay B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2008
Last updated Dec 6th, 2017 - about 8 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 1316104839 NPPES
Indiana MEDICAID 201301490

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