Patel, Jeetendra Bhagubhai

Patel, Jeetendra Bhagubhai is an individual health care provider with primary practice located at 329 N State Of Franklin Rd , Johnson City TN 37604-6062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Patel, Jeetendra Bhagubhai can be contacted via phone (423) 979-4100.

Contact Information

Primary practice address
329 N State Of Franklin Rd Johnson City TN 37604-6062
Phone: (423) 979-4100
Fax: (423) 979-4134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 0101281934 Virginia
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 61845 Tennessee

Profile Details

NPI number 1255412094
LBN Legal business name Patel, Jeetendra Bhagubhai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated May 28th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255412094 NPPES
Indiana Other 000000662912 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200951260 ANTHEM PROVIDER NUMBER
Indiana MEDICAID Q060983 ANTHEM PROVIDER NUMBER
Indiana Other 5816058-1205 ANTHEM PROVIDER NUMBER

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