Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 47285 | KY |
N | 208600000X | Surgeon | 47285 | KY |
N | 208200000X | Surgeon | A108787 | CA |
N | 208600000X | Surgeon | A108787 | CA |
N | 2086X0206X | Surgical Oncologist | 45206 | AZ |
Y | 208C00000X | Colorectal Surgeon | 47285 | KY |
NPI | 1265522601 |
---|---|
Provider Name | Dr. Jitesh A Patel |
First Address | Lexington, KY 40536-0293 |
Second Address | Lexington, KY 40536-0293 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2006 |
Last Update Date | 03/06/2020 |