Healthcare Provider Details

I. General information

NPI: 1144755869
Provider Name (Legal Business Name): AKASH ASHWINKUMAR PATEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2017
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 E MARSHALL ST
RICHMOND VA
23298-0135
US

IV. Provider business mailing address

1250 E MARSHALL ST P.O. BOX 980135
RICHMOND VA
23298-0135
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-2755
  • Fax:
Mailing address:
  • Phone: 804-828-2755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2026-03440
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: