Healthcare Provider Details

I. General information

NPI: 1841132081
Provider Name (Legal Business Name): URJA PATEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8116 GOOD LUCK RD
LANHAM MD
20706-3502
US

IV. Provider business mailing address

3148 COOPERS ARCH
VIRGINIA BEACH VA
23456-3456
US

V. Phone/Fax

Practice location:
  • Phone: 301-552-8130
  • Fax:
Mailing address:
  • Phone: 757-372-1352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110011657
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: