# LEELA K PATEL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124097084
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 18983 | WV | Yes |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 12/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001720355 | MS BCBS | WV |
| 05 | — | 0055016000 | — | WV |
| 01 | — | 080143242 | RR MEDICARE | WV |
| 01 | — | 5632473 | AETNA | WV |