Healthcare Provider Details

I. General information

NPI: 1851525729
Provider Name (Legal Business Name): SEEMA KUMAR PATEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2009
Last Update Date: 11/18/2021
Certification Date: 11/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11958 W BROAD ST
HENRICO VA
23233-1007
US

IV. Provider business mailing address

1220B E JOPPA RD STE 310
BALTIMORE MD
21286-5818
US

V. Phone/Fax

Practice location:
  • Phone: 804-360-4669
  • Fax: 804-364-6557
Mailing address:
  • Phone: 410-494-1888
  • Fax: 410-494-1008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number0101261379
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberD0074314
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: