Healthcare Provider Details

I. General information

NPI: 1902744295
Provider Name (Legal Business Name): JAINIKA J PATEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 SAINT MARYS DR STE 510
EVANSVILLE IN
47714-0511
US

IV. Provider business mailing address

207 APPLEWOOD LN
BLOOMINGDALE IL
60108-2101
US

V. Phone/Fax

Practice location:
  • Phone: 812-485-4000
  • Fax:
Mailing address:
  • Phone: 630-345-2389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: