Individual
TUSHAR G PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3914 CENTREVILLE RD, SUITE 250, CHANTILLY, VA 20151-3289
(703) 435-1223
(703) 435-1868
Mailing address
3914 CENTREVILLE RD, SUITE 250, CHANTILLY, VA 20151-3289
(703) 435-1223
(703) 435-1868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101037830
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006013198
—
VA
05
—
0084773000
—
WV
01
—
017933000
BLACK LUNG
—
01
—
030090
ANTHEM BCBS
—
01
—
4660972
AETNA
—
Enumeration date
08/17/2006
Last updated
11/27/2023
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