Healthcare Provider Details

I. General information

NPI: 1427237858
Provider Name (Legal Business Name): TEJAL N. PATEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TEJAL MAHENDRA JAMINDAR

II. Dates (important events)

Enumeration Date: 11/01/2007
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 W MARKHAM ST # 783
LITTLE ROCK AR
72205-7101
US

IV. Provider business mailing address

2801 ATLANTIC AVE
LONG BEACH CA
90806-1701
US

V. Phone/Fax

Practice location:
  • Phone: 501-686-8000
  • Fax: 501-526-5148
Mailing address:
  • Phone: 562-933-1550
  • Fax: 562-933-8088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number25MA09596900
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberE-20299
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number75801
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberC140227
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: