Individual
DR. HARESH J PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 SLATE CREEK RD, GRUNDY, VA 24614-6975
(276) 935-2148
(276) 935-7220
Mailing address
1520 SLATE CREEK RD, GRUNDY, VA 24614-6975
(276) 935-2148
(276) 935-7270
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101053462
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005853214
—
VA
05
—
1804504000
—
WV
01
—
295535900
FEDERAL BLACK LUNG
VA
01
—
453692
ANTHEM BCBS OF VIRGINIA
VA
05
—
64028335
—
KY
01
—
7934282
AETNA
VI
Enumeration date
03/17/2006
Last updated
11/13/2018
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