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NPI Code Detail

MEDICARE: JAYANTILAL RAOJIBHAL PATEL MD

MEDICARE: JAYANTILAL RAOJIBHAL 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
1207Q00000XFamily Medicine PhysicianMD037709LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12178345001OTHERPAKEYSTONE HEALTH PLAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730184888
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYANTILAL RAOJIBHAL PATEL MD
Provider Business Mailing Address
First Line : 501 BATH RD
Second Line : STE 209A
City : BRISTOL
State : PA
Zip : 19007-3101
Country : US
Telephone Number : 215-785-9595
Fax Number : 215-785-9891
Provider Business Practice Location Address
First Line : 501 BATH RD
Second Line : STE 209A
City : BRISTOL
State : PA
Zip : 19007-3101
Country : US
Telephone Number : 215-785-9595
Fax Number : 215-785-9891
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 07/08/2007

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Directions to “ JAYANTILAL RAOJIBHAL PATEL MD” Practice Location

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