Healthcare Provider Details

I. General information

NPI: 1205402666
Provider Name (Legal Business Name): DHRUVI PATEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2021
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 MACCORKLE AVE SE STE B-16
CHARLESTON WV
25304-1223
US

IV. Provider business mailing address

100 15TH ST NW
NORTON VA
24273-1616
US

V. Phone/Fax

Practice location:
  • Phone: 304-388-5848
  • Fax:
Mailing address:
  • Phone: 276-697-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number116035235
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number33849
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: