Individual
PRIYA PANKAJKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8081 INNOVATION PARK DR, FAIRFAX, VA 22031-4867
(571) 472-4724
(571) 472-0241
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101269717
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101269717
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
61923
MN
207RP1001X
Pulmonary Disease Physician
Primary
0101269717
VA
207RP1001X
Pulmonary Disease Physician
P97125
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2012
Last updated
07/21/2022
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