Patel, Jay Krishnavadan

Patel, Jay Krishnavadan is an individual health care provider with primary practice located at 309 New St Carolina Kidney Associates, Greensboro NC 27405-3654. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Patel, Jay Krishnavadan can be contacted via phone (336) 379-9708.

Contact Information

Primary practice address
309 New St Carolina Kidney Associates Greensboro NC 27405-3654
Phone: (336) 379-9708
Fax: (336) 553-2085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 121946 North Carolina
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 278088 North Carolina

Profile Details

NPI number 1013034727
LBN Legal business name Patel, Jay Krishnavadan
Credentials MB.CHB
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jul 9th, 2021 - about 3 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 1013034727 NPPES
North Carolina Other 56-1274347 CAROLINA KIDNEY'S TAX ID
North Carolina MEDICAID 5908623 CAROLINA KIDNEY'S TAX ID
North Carolina Other P00905301 CAROLINA KIDNEY'S TAX ID

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