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NPI Code Detail

MEDICARE: MINAL PATEL MD

MEDICARE: MINAL 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
1207RG0100XGastroenterology Physician248769NY
2207RG0100XGastroenterology Physician0101249974VA

General Provider Information

NPI Number : 1588848089
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINAL PATEL MD
Provider Business Mailing Address
First Line : 1939 ROLAND CLARKE PL STE 200
Second Line :
City : RESTON
State : VA
Zip : 20191-1445
Country : US
Telephone Number : 703-766-2650
Fax Number : 703-766-2654
Provider Business Practice Location Address
First Line : 1939 ROLAND CLARKE PL STE 200
Second Line :
City : RESTON
State : VA
Zip : 20191-1445
Country : US
Telephone Number : 703-766-2650
Fax Number : 703-766-2654
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2007
Last Update Date : 03/17/2018

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Directions to “ MINAL PATEL MD” Practice Location

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