Healthcare Provider Details

I. General information

NPI: 1992940977
Provider Name (Legal Business Name): PARISHRAM BIPINCHANDRA PATEL M.B.B.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: BIPINCHANDRA PATEL PARISHRAM M.B.B.S.

II. Dates (important events)

Enumeration Date: 12/04/2008
Last Update Date: 03/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8260 ATLEE RD SUITE 3031
MECHANICSVILLE VA
23116-1844
US

IV. Provider business mailing address

8260 ATLEE RD SUITE 3031
MECHANICSVILLE VA
23116-1844
US

V. Phone/Fax

Practice location:
  • Phone: 804-764-7965
  • Fax: 804-764-7969
Mailing address:
  • Phone: 804-764-7965
  • Fax: 804-764-7969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101249443
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number0101249443
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: