MEDICARE: JAY RAJNI PATEL M.D.

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
1	207R00000X	Internal Medicine Physician	0101253846	VA
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	0101253846	VA
3	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	35093929	OH

General Provider Information

NPI Number	:	1518147495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAY RAJNI PATEL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 7527
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43017-0727
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5141 W BROAD ST STE 180
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1992
Country	:	US
Telephone Number	:	614-788-8360
Fax Number	:	614-788-8361

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2007
Last Update Date	:	08/15/2024

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