Provider Demographics
NPI:1104351089
Name:PATEL, JAY RAJNIKANT (DO)
Entity type:Individual
Prefix:
First Name:JAY
Middle Name:RAJNIKANT
Last Name:PATEL
Suffix:
Gender:M
Credentials:DO
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Other - First Name:
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Mailing Address - Street 1:114 SANDHILL DR STE 203
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-5805
Mailing Address - Country:US
Mailing Address - Phone:302-623-1929
Mailing Address - Fax:302-376-4350
Practice Address - Street 1:114 SANDHILL DR STE 203
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-5805
Practice Address - Country:US
Practice Address - Phone:302-623-1929
Practice Address - Fax:302-376-4350
Is Sole Proprietor?:No
Enumeration Date:2017-04-27
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC2-0024319207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease