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NPI Code Detail

MEDICARE: JAYNISH PATEL MD

MEDICARE:   JAYNISH  PATEL  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianL1424TX
22085R0204XVascular & Interventional Radiology PhysicianL1424TX

General Provider Information

NPI Number : 1205887577
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYNISH PATEL MD
Provider Business Mailing Address
First Line : PO BOX 911230
Second Line :
City : DALLAS
State : TX
Zip : 75391-1230
Country : US
Telephone Number : 972-997-8000
Fax Number : 972-234-2987
Provider Business Practice Location Address
First Line : 3920 W WHEATLAND RD STE 108
Second Line :
City : DALLAS
State : TX
Zip : 75237-3401
Country : US
Telephone Number : 469-966-1470
Fax Number : 469-300-2733
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 08/13/2025

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Directions to “ JAYNISH PATEL MD” Practice Location

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