| Piyush R Patel Md, Pc | |
|
13880 Braddock Rd Suite 209 Centreville VA 20121-2459 | |
| (703) 818-2772 | |
| (703) 818-2773 |
| Full Name | Piyush R Patel Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13880 Braddock Rd, Centreville, Virginia |
| Authorized Official Name and Position | Piyush R Patel (PRESIDENT) |
| Authorized Official Contact | 7038182772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Piyush R Patel Md, Pc 13880 Braddock Rd Suite 209 Centreville VA 20121-2459 Ph: (703) 818-2772 | Piyush R Patel Md, Pc 13880 Braddock Rd Suite 209 Centreville VA 20121-2459 Ph: (703) 818-2772 |
| NPI Number | 1639428840 |
|---|---|
| Provider Enumeration Date | 09/04/2012 |
| Last Update Date | 09/04/2012 |
| Medicare PECOS PAC ID | 7618126533 |
|---|---|
| Medicare Enrollment ID | O20121009000124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639428840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101047220 (Virginia) | Primary |
| Provider Name | Piyush R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821055625 PECOS PAC ID: 5890740096 Enrollment ID: I20050321000964 |
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