Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036137857 | IL |
N | 111NI0900X | Internist | 036137857 | IL |
N | 207R00000X | Internist | A163312 | CA |
N | 111NI0900X | Internist | A163312 | CA |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 036137857 | IL |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | A163312 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | 036137857 | IL |
N | 207RC0000X | Internist - Cardiovascular Disease | A163312 | CA |
NPI | 1033479100 |
---|---|
Provider Name | Dr. Jay Nitin Patel |
First Address | Loma Linda, CA 92357-1000 |
Second Address | Loma Linda, CA 92357-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2012 |
Last Update Date | 17/04/2021 |