Individual
CHANDRAKANT M PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-2924
(804) 675-5411
Mailing address
4756 SOUTHMOOR RD, NORTH CHESTERFIELD, VA 23234-3748
(804) 482-3646
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101036870
VA
2084P0805X
Geriatric Psychiatry Physician
01010368780
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007100116
—
VA
01
—
049460
ANTHEM BC/BS
—
01
—
802990
OPTIMA
—
05
—
890544G
—
NC
Enumeration date
04/18/2006
Last updated
02/24/2025
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