MEDICARE: DR. JAYESH AMBUBHAI 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
1	207RI0200X	Infectious Disease Physician	25056	TN

Other Identifiers

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

General Provider Information

NPI Number	:	1720079114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAYESH AMBUBHAI PATEL MD

Provider Business Mailing Address
First Line	:	3443 DICKERSON PIKE STE 210
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207-2522
Country	:	US
Telephone Number	:	615-234-6411
Fax Number	:	615-732-2430

Provider Business Practice Location Address
First Line	:	3443 DICKERSON PIKE STE 210
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207-2522
Country	:	US
Telephone Number	:	615-234-6411
Fax Number	:	615-732-2430

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

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	03/12/2020

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