Individual
PREMALKUMAR RAJNIBHAI PATWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 FORT EVANS RD NE STE C, LEESBURG, VA 20176-4487
(703) 737-2110
(703) 737-2111
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101274631
VA
2084P0800X
Psychiatry Physician
35.094543
OH
Other
Enumeration date
06/21/2008
Last updated
10/05/2022
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