Healthcare Provider Details

I. General information

NPI: 1528092103
Provider Name (Legal Business Name): ALKA PATEL CHERRY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALKA M PATEL M.D.

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 01/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 DISCOVERY DR SUITE 302
CHESAPEAKE VA
23320-3871
US

IV. Provider business mailing address

500 DISCOVERY DR SUITE 302
CHESAPEAKE VA
23320-3871
US

V. Phone/Fax

Practice location:
  • Phone: 757-668-2500
  • Fax: 757-668-2510
Mailing address:
  • Phone: 757-668-2500
  • Fax: 757-668-2510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101056022
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: