Healthcare Provider Details

I. General information

NPI: 1437189016
Provider Name (Legal Business Name): JIGAR SHIRISH PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 RAINBOW BLVD MAIL STOP 4049
KANSAS CITY KS
66160-0001
US

IV. Provider business mailing address

9700 MILLRIDGE DR
LENEXA KS
66220-3722
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-0626
  • Fax: 913-588-1777
Mailing address:
  • Phone: 913-254-9330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License Number2005037961
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number04-31440
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number04-31440
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: