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General NPI Number Information
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NPI Number | 1457975005
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Entity Type | Individual
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Provider Name | JAI J PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 05/29/2020
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 300 E 5TH AVE # 4N
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City | SPOKANE
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State | WA
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Zip | 99202-1349
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Country | US
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Telephone | 509-530-5370
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Fax | 509-530-5334
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Provider Business Mailing Address
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Address Line | PO BOX 5299 MS: 820-5-PCO
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City | TACOMA
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State | WA
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Zip | 98415-0299
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Country | US
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Telephone |
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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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | MD61334815
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License Number State | WA
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