Healthcare Provider Details

I. General information

NPI: 1194257469
Provider Name (Legal Business Name): DR. NEERAV PATEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N BEAUREGARD ST STE 40
ALEXANDRIA VA
22311-1735
US

IV. Provider business mailing address

1800 N BEAUREGARD ST STE 40
ALEXANDRIA VA
22311-1735
US

V. Phone/Fax

Practice location:
  • Phone: 703-359-8640
  • Fax: 703-591-6105
Mailing address:
  • Phone: 703-359-8640
  • Fax: 703-591-6105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0101285935
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: