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NPI Code Detail

MEDICARE: JAY PATEL MD

MEDICARE: JAY 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
1207X00000XOrthopaedic Surgery Physician2021028383MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316359565
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAY PATEL MD
Provider Business Mailing Address
First Line : 425 NORTH NEW BALLAS ROAD
Second Line : SUITE 230
City : ST. LOUIS
State : MO
Zip : 63141-6848
Country : US
Telephone Number : 314-266-2066
Fax Number : 314-266-2069
Provider Business Practice Location Address
First Line : 425 NORTH NEW BALLAS ROAD
Second Line : SUITE 230
City : ST. LOUIS
State : MO
Zip : 63141-6848
Country : US
Telephone Number : 314-266-2066
Fax Number : 314-266-2069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2014
Last Update Date : 05/30/2024

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Directions to “ JAY PATEL MD” Practice Location

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