Patel, Suresh

Patel, Suresh is an individual health care provider with primary practice located at 2816 Fox Meadow Ln , Jonesboro AR 72404-9346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Patel, Suresh can be contacted via phone (870) 336-1675.

Contact Information

Primary practice address
2816 Fox Meadow Ln Jonesboro AR 72404-9346
Fax: (870) 336-1679
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X E1749 Arkansas

Profile Details

NPI number 1588669006
LBN Legal business name Patel, Suresh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Mar 7th, 2023 - about last year

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 1588669006 NPPES
New York Other 187046 STATE LICENSE
New York MEDICAID 133430001 STATE LICENSE
New York MEDICAID 209782002 STATE LICENSE
New York Other E1749 STATE LICENSE

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