Individual
MIT PRABHAKER PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 COLISEUM DR STE 320, HAMPTON, VA 23666-5983
(757) 827-2350
(757) 510-9383
Mailing address
4000 COLISEUM DR STE 320, HAMPTON, VA 23666-5983
(757) 827-2350
(757) 510-9383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101262014
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101262014
VA
207RP1001X
Pulmonary Disease Physician
0101262014
VA
Other
Enumeration date
04/14/2014
Last updated
09/26/2023
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