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General NPI Number Information
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NPI Number | 1447497532
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Entity Type | Individual
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Provider Name | JALU PATEL DPM
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Gender | Male
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 01/05/2015
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Provider Practice Location Address
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Address Line | 3112 WEBSTER AVE
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City | BRONX
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State | NY
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Zip | 10467-4926
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Country | US
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Telephone | 718-655-3410
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Fax |
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Provider Business Mailing Address
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Address Line | 294 GARRETT RD
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City | MOUNTAINSIDE
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State | NJ
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Zip | 07092-1810
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Country | US
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Telephone | 917-327-5200
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N006305
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License Number State | NY
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