Provider Demographics
NPI:1033670849
Name:PATEL, JASAL (MD)
Entity type:Individual
Prefix:
First Name:JASAL
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E 210TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2412
Mailing Address - Country:US
Mailing Address - Phone:718-920-5861
Mailing Address - Fax:718-882-7216
Practice Address - Street 1:150 E 210TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2412
Practice Address - Country:US
Practice Address - Phone:718-920-4133
Practice Address - Fax:718-882-7216
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY330431208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation