Individual
KHUSBUBEN SHANTILAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4124 CHESAPEAKE SQUARE BLVD STE 103, CHESAPEAKE, VA 23321-2134
(757) 983-5100
(757) 673-8292
Mailing address
4124 CHESAPEAKE SQUARE BLVD STE 103, CHESAPEAKE, VA 23321
(757) 983-5100
(757) 673-8292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101276311
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2019
Last updated
09/28/2023
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