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NPI Code Detail

MEDICARE: JIGISHA PATEL M.D.

MEDICARE:   JIGISHA  PATEL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician57008469OH

General Provider Information

NPI Number : 1063531630
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIGISHA PATEL M.D.
Provider Business Mailing Address
First Line : 1951 W 26TH ST
Second Line : #205
City : CLEVELAND
State : OH
Zip : 44113-3461
Country : US
Telephone Number : 615-812-1851
Fax Number :
Provider Business Practice Location Address
First Line : 2500 METROHEALTH DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-1900
Country : US
Telephone Number : 216-778-2406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 07/08/2007

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Directions to “ JIGISHA PATEL M.D.” Practice Location

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