Healthcare Provider Details
I. General information
NPI: 1174135354
Provider Name (Legal Business Name): MEET JASHWANTLAL PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/19/2020
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1800 N CAPITOL AVE # E371
INDIANAPOLIS IN
46202-1218
US
IV. Provider business mailing address
1545 ATLANTIC AVE
BROOKLYN NY
11213-1122
US
V. Phone/Fax
- Phone: 317-274-0700
- Fax:
- Phone: 718-613-4000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: