MEDICARE: SAUMIL VINUBHAI PATEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	0101248010	VA
2	207RC0000X	Cardiovascular Disease Physician	40262	KY

General Provider Information

NPI Number	:	1881684124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAUMIL VINUBHAI PATEL M.D.

Provider Business Mailing Address
First Line	:	160 KINGSLEY LN
Second Line	:	SUITE 100 A
City	:	NORFOLK
State	:	VA
Zip	:	23505-4600
Country	:	US
Telephone Number	:	757-889-5335
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 KINGSLEY LN
Second Line	:	SUITE 100 A
City	:	NORFOLK
State	:	VA
Zip	:	23505-4600
Country	:	US
Telephone Number	:	757-889-5335
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	08/15/2011

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