Healthcare Provider Details

I. General information

NPI: 1831168004
Provider Name (Legal Business Name): DINKAR N PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 03/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 SLATE CREEK RD
GRUNDY VA
24614-6975
US

IV. Provider business mailing address

1520 SLATE CREEK RD
GRUNDY VA
24614-6975
US

V. Phone/Fax

Practice location:
  • Phone: 276-935-2148
  • Fax: 276-935-7270
Mailing address:
  • Phone: 276-935-2148
  • Fax: 276-935-7270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101034343
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: