Patel, Jayendra D.
Patel, Jayendra D. is an individual health care provider with primary practice located at 2600 Saint Michael Dr , Texarkana TX 75503-5220. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Patel, Jayendra D. can be contacted via phone (903) 614-2111.Contact Information
Primary practice address
2600 Saint Michael Dr
Texarkana TX 75503-5220
Phone: (903) 614-2111
Fax: (903) 614-6913
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | F6299 | Texas |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | F6299 | Texas |
Profile Details
| NPI number | 1063410637 |
|---|---|
| LBN Legal business name | Patel, Jayendra D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Nov 14th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063410637 | NPPES |
| Arkansas | MEDICAID | 107659001 | |
| Arkansas | MEDICAID | 099731404 | |
| Arkansas | MEDICAID | 099731403 | |
| Arkansas | MEDICAID | 100021020A |
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