Patel, Jayendra D.

Patel, Jayendra D. is an individual health care provider with primary practice located at 2600 Saint Michael Dr , Texarkana TX 75503-5220. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Patel, Jayendra D. can be contacted via phone (903) 614-2111.

Contact Information

Primary practice address
2600 Saint Michael Dr Texarkana TX 75503-5220
Phone: (903) 614-2111
Fax: (903) 614-6913
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X F6299 Texas
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X F6299 Texas

Profile Details

NPI number 1063410637
LBN Legal business name Patel, Jayendra D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Nov 14th, 2016 - about 9 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 1063410637 NPPES
Arkansas MEDICAID 107659001
Arkansas MEDICAID 099731404
Arkansas MEDICAID 099731403
Arkansas MEDICAID 100021020A

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