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NPI 1790416477

NPI 1790416477 : SAHIL PATEL DO : CHARLOTTESVILLE, VA

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General NPI Number Information
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    NPI Number           |    1790416477
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    Entity Type          |    Individual 
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    Provider Name        |    SAHIL PATEL DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/22/2022
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    Last Update Date     |    06/15/2025
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Provider Practice Location Address
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    Address Line         |    1215 LEE ST. P.O. BOX 800133
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    City                 |    CHARLOTTESVILLE
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    State                |    VA
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    Zip                  |    22908-0816
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    Country              |    US
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    Telephone            |    434-297-7199
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    Fax                  |    434-924-9578
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Provider Business Mailing Address
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    Address Line         |    12112 GARDEN GROVE CIR UNIT 402 
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    City                 |    FAIRFAX
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    State                |    VA
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    Zip                  |    22030-9012
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    Country              |    US
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    Telephone            |    443-414-1707
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    0116036280
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    License Number State |    VA
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