Patel, Jayesh Kishor

Patel, Jayesh Kishor is an individual health care provider with primary practice located at 1327 Troup Hwy , Tyler TX 75701-4443. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Patel, Jayesh Kishor can be contacted via phone (903) 510-8840.

Contact Information

Primary practice address
1327 Troup Hwy Tyler TX 75701-4443
Phone: (903) 510-8840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X R0902 Kentucky
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X N2717 Texas

Profile Details

NPI number 1780840603
LBN Legal business name Patel, Jayesh Kishor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2008
Last updated Oct 13th, 2014 - about 10 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 1780840603 NPPES
Texas Other 75-2616977-113 TRICARE
Texas Other TIN PLUS 021 TRICARE
Texas MEDICAID 215969101 TRICARE
Texas Other 8AM685 TRICARE

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