Healthcare Provider Details

I. General information

NPI: 1073576237
Provider Name (Legal Business Name): JASHUBHAI N PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 MAIN ST
DOWAGIAC MI
49047-1710
US

IV. Provider business mailing address

515 MAIN ST
DOWAGIAC MI
49047-1710
US

V. Phone/Fax

Practice location:
  • Phone: 269-782-2273
  • Fax:
Mailing address:
  • Phone: 269-782-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberJP037662
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberJP037662
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: