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NPI Code Detail

MEDICARE: MR. DEEP VINU PATEL MD

MEDICARE: MR. DEEP VINU PATEL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician0101249866VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1VV3694BOTHERVAMEDICARE PROVIDER PTAN

General Provider Information

NPI Number : 1154593168
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DEEP VINU PATEL MD
Provider Business Mailing Address
First Line : 7501 RIGHT FLANK RD STE 600
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23116-3863
Country : US
Telephone Number : 804-559-3980
Fax Number : 804-559-6982
Provider Business Practice Location Address
First Line : 7501 RIGHT FLANK RD STE 600
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23116-3863
Country : US
Telephone Number : 804-559-6980
Fax Number : 804-559-6982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2008
Last Update Date : 02/04/2026

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