Organization
FAMILY & INTERNAL MEDICAL CNTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JITENDRA PATEL M.D. (PHYSICIAN)
(757) 471-3100
Entity
Organization
Contact information
Practice address
2020 S INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23453-4776
(757) 471-3100
(757) 471-3624
Mailing address
1708 MERCHANTS HOPE CT, VIRGINIA BEACH, VA 23455-7012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6058948
—
VA
Enumeration date
09/27/2006
Last updated
04/09/2014
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