Healthcare Provider Details

I. General information

NPI: 1538493754
Provider Name (Legal Business Name): NIMESH K PATEL M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2009
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 FOREST AVE STE 200
RICHMOND VA
23230-1726
US

IV. Provider business mailing address

PO BOX 639994
CINCINNATI OH
45263-9994
US

V. Phone/Fax

Practice location:
  • Phone: 804-288-3123
  • Fax: 804-282-3322
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMT194768
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD450636
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberTRN22059
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number0101259584
License Number StateVA
# 5
Primary TaxonomyY
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License Number0101259584
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: