Healthcare Provider Details

I. General information

NPI: 1922260496
Provider Name (Legal Business Name): ROHIT PATEL M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 7TH AVE
SOUTH CHARLESTON WV
25303-1417
US

IV. Provider business mailing address

129 7TH AVE
SOUTH CHARLESTON WV
25303-1417
US

V. Phone/Fax

Practice location:
  • Phone: 304-766-9393
  • Fax:
Mailing address:
  • Phone: 304-766-9393
  • Fax: 304-766-9390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number24156
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: