Individual
DR. MALLIKA S PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4301 WISCONSIN AVE NW, WASHINGTON, DC 20016-2160
(202) 237-8500
Mailing address
3015 NICOSH CIR, UNIT #2403, FALLS CHURCH, VA 22042-1235
(540) 250-6674
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001972
VA
152W00000X
Optometrist
Primary
OP1000202
DC
152W00000X
Optometrist
TA2213
MD
Other
Enumeration date
07/12/2010
Last updated
06/03/2021
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