Individual
DR. MUKESH P PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 E BURWELL ST, SALEM, VA 24153-4338
(540) 387-3105
(540) 387-3653
Mailing address
400 E BURWELL ST, SALEM, VA 24153-4338
(540) 387-3105
(540) 387-3653
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101035881
VA
2084P0802X
Addiction Psychiatry Physician
0101035881
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007111355
—
VA
01
—
019414
VALUE OPTIONS
—
01
—
089935
SENTARA/SOUTHERN HEALTH
—
01
—
095931000
MAGELLAN
—
01
—
395222
ANTHEM/ANTHEM HEALTHKEEP
—
01
—
4236869
AETNA
—
01
—
425445
MAMSI, MDIPA
—
01
—
541925036
UBH/UHC
—
01
—
63859
CIGNA
—
Enumeration date
08/04/2006
Last updated
06/25/2009
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