Provider Demographics
NPI:1922672211
Name:PATEL-JERLS, RINA ANAND (DC)
Entity type:Individual
Prefix:DR
First Name:RINA
Middle Name:ANAND
Last Name:PATEL-JERLS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:RINA
Other - Middle Name:ANAND
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1131 N KINGSHIGHWAY ST STE G
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-3547
Mailing Address - Country:US
Mailing Address - Phone:573-271-0730
Mailing Address - Fax:
Practice Address - Street 1:1131 N KINGSHIGHWAY ST STE G
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-3547
Practice Address - Country:US
Practice Address - Phone:573-271-0730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-19
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC-1486-0111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor