| Jitendra K. Patel M.d. Inc | |
|
723 8th St Portsmouth OH 45662-4265 | |
| (740) 353-5306 | |
| (740) 353-8131 |
| Full Name | Jitendra K. Patel M.d. Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 723 8th St, Portsmouth, Ohio |
| Authorized Official Name and Position | Jitendra K Patel (PRESIDENT) |
| Authorized Official Contact | 7403535306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jitendra K. Patel M.d. Inc 723 8th St Portsmouth OH 45662-4265 Ph: (740) 353-5306 | Jitendra K. Patel M.d. Inc 723 8th St Portsmouth OH 45662-4265 Ph: (740) 353-5306 |
| NPI Number | 1689758807 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 08/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689758807 | NPI | - | NPPES |
| 9371761 | Other | OH | MEDICARE GROUP # |
| 000000187307 | Other | OH | BCBS |
| 0207565 | Medicaid | OH | |
| 2806977 | Other | OH | GROUP MEDICAID |
| 64952237 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35069645P (Ohio) | Primary |
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