NIRAV PATEL (NPI# 1790907418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790907418 |
| Entity Type | Individual |
| Full Name | NIRAV PATEL |
| Credential | M.D. |
| Practice Address |
17 Centre Plaza Dr Jackson TN 38305-2862 |
| Practice Telephone | 7315120104 |
| Practice Fax Number | 7316687388 |
| Mailing Telephone | 7315120104 |
| Mailing Fax Number | 7316687388 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 000481 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
48662 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | ORGANIZATION NPI | 1629016399 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250098 | Nirav C Patel | Pharmacist | 256 Us Highway 206 Ste 12, Hillsborough, NJ 08844-4681 | 2019-08-14 |
| 1548742893 | Nirav Patel | Pharmacist | 5201 S Cooper St Ste 117, Arlington, TX 76017-5964 | 2018-09-04 |
| 1538658349 | Nirav Patel | Student in an Organized Health Care Education/Training Program | 51 N 39th St # 211, Philadelphia, PA 19104-2640 | 2018-05-07 |
| 1780042010 | Nirav Vishnuprasad Patel | Dentist | 1120 Route 73 Ste 100, Mount Laurel, NJ 08054-5113 | 2016-02-01 |
| 1114382710 | Nirav Pravinbhai Patel | Pharmacist | 1440 Lee Blvd, Lehigh Acres, FL 33936-4850 | 2015-12-23 |
| 1457735680 | Nirav M Patel | Dentist | 7711 Pickering Dr, Charlotte, NC 28213-5093 | 2015-07-17 |
| 1306252978 | Nirav Patel | Pharmacist | 704 E Passyunk Ave, Philadelphia, PA 19147-3017 | 2014-07-03 |
| 1265783815 | Nirav A Patel | Family Medicine | 2761 E Trinity Mills Rd Ste 100, Carrollton, TX 75006-3507 | 2012-09-23 |
| 1104199678 | Nirav Patel | Contractor | 8563 Bauer Cir, Springfield, VA 22152-2331 | 2012-02-14 |
| 1316214943 | Nirav Ashok Patel | Dentist | 8654 Marlamoor Ln, West Palm Beach, FL 33412-1603 | 2011-11-28 |
| Street Address |
17 CENTRE PLAZA DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-2862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629016399 | Delta Convenient Care PC | Family Medicine | 17 Centre Plaza Dr, Jackson, TN 38305-2862 | 2006-06-03 |
| 1578004453 | Delta Clinics, P.l.c. | Nurse Practitioner | 17 Centre Plaza Dr, Jackson, TN 38305-2862 | 2017-03-13 |
| 1104367283 | Kathleen Elizabeth Carroll | Nurse Practitioner | 17 Centre Plaza Dr, Jackson, TN 38305-2862 | 2017-03-09 |
| 1225578305 | Kelly Wiggins | Registered Nurse | 17 Centre Plaza Dr, Jackson, TN 38305-2862 | 2017-03-08 |
| 1093057465 | Cara Rust Roberson | Nurse Practitioner | 17 Centre Plaza Dr, Jackson, TN 38305-2862 | 2013-03-22 |
| 1205000296 | Simon Olalekan Okewole | Internal Medicine | 17 Centre Plaza Dr, Jackson, TN 38305-2862 | 2008-04-22 |
| 1235318056 | Naji Bourji | Internal Medicine | 17 Centre Plaza Dr, Jackson, TN 38305-2862 | 2007-10-29 |
| 1164436432 | Jesus Lemus Parada | Family Medicine | 17 Centre Plaza Dr, Jackson, TN 38305-2862 | 2006-07-29 |
| 1033138391 | Holly Bennett Bunch | Nurse Practitioner | 17 Centre Plaza Dr, Jackson, TN 38305-2862 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935437 | Cvc Pllc | Internal Medicine | 22 Deepwood Dr, Jackson, TN 38305-9679 | 2020-06-02 |
| 1912143991 | Theophilus James Humphreys | Internal Medicine | 164 W University Pkwy Ste A, Jackson, TN 38305-1621 | 2008-12-23 |
| 1548423114 | Olurotimi Badero | Internal Medicine | 5240 Robinson Rd, Jackson, MS 39204-4134 | 2008-07-03 |
| 1740480961 | Cardiovascular Clinic of West Tn PC | Internal Medicine | 2968 North Highland Avenue, Jackson, TN 38305-3609 | 2007-07-25 |
| 1013112457 | The Cardiovascular Clinic of West Tennessee,p.c. | Internal Medicine | 162 Murray Guard Dr, Suite A, Jackson, TN 38305-3609 | 2007-06-17 |
| 1497829550 | Shawn A Baldwin | Internal Medicine | 27a Medical Center Dr, Jackson, TN 38301-3949 | 2006-11-20 |
| 1083715254 | Kenny K. Charn | Internal Medicine | 201 Clinton Rd, Suite 105, Jackson, CA 95642-2648 | 2006-09-26 |
| 1861590457 | Sandra Speckels Mccearley | Internal Medicine | 970 Lakeland Dr Ste 61, Jackson, MS 39216 | 2006-09-20 |
| 1063425734 | Mabbu Jayakumar | Internal Medicine | 168 W University Pkwy Ste C, Jackson, TN 38305-1624 | 2006-08-14 |
| 1851305429 | Jackson Cardiology Associates, P.a. | Internal Medicine | 971 Lakeland Dr Ste 850, Jackson, MS 39216-4608 | 2006-07-28 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.