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Jayeshkumar A Patel

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Allopathic & Osteopathic Physicians

6410 Fannin St, Univ Of Tx, Hsc Prof Bldg, Suite 920, Houston, TX 77030-3000

PECOS Enrollment

This provider is enrolled in PECOS as JAYESHKUMAR PATEL.

Based on the most recent information from CMS, provider Jayeshkumar A Patel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1730195793
Provider Type
Individual
Full Name
Patel, Jayeshkumar A
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
7/31/2006
Last Updated
9/14/2012

Contact Information

Practice Location

6410 Fannin St, Univ Of Tx, Hsc Prof Bldg, Suite 920, Houston, TX 77030-3000

(713) 486-6714

(713) 512-2296

Mailing Location

6410 Fannin St, Univ Of Tx, Hsc Prof Bldg, Suite 920, Houston, TX 77030-3000

(713) 486-6714

(713) 512-2296

Provider Taxonomies

Code	Description	License
Code 208G00000X Primary	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License 4301069941 Michigan
Code 208600000X	Description Surgery Allopathic & Osteopathic Physicians	License 4301069941 Michigan

Provider Identifiers

ID	Description	Issuer
ID P00604019	Description Other	Issuer RAILROAD MEDICARE Pennsylvania

Jayeshkumar A Patel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Songdechakraiwut, Tanuntorn

He, Yuncen Atticus

Vaporciyan, Ara A.

Frazier, Oscar Howard

Rice, David C.

Pickard, Laurens Russell

Rascoe, Philip A

Bobovnikov, Viachslav

Deshaies, Catherine

Safi, Hazim