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Contact Information

JAGDISH A PATEL, MD
644 W 12TH ST
TRACY, CA95376-3437
 Phone: 209-832-8984
 Fax: 209-832-8988
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for JAGDISH A PATEL · (Male)

NPI # 1407897481
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A31816
  • CA Other A31816 LICENSE NUMBER
Hospital affiliation(s)
  • SUTTER TRACY COMMUNITY HOSPITAL - (Acute Care)
    1420 N TRACY BLVD
    TRACY, CA 95376
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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