Individual
MITESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9715 LIBERIA AVE, MANASSAS, VA 20110-5837
(571) 229-1797
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(540) 265-4219
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101275572
VA
Other
Enumeration date
03/20/2019
Last updated
07/12/2022
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