Individual
KUSH S PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
46000 CENTER OAK PLZ STE 260, STERLING, VA 20166-8538
(703) 970-6464
(703) 970-6468
Mailing address
PO BOX 37189, BALTIMORE, MD 21297-3189
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
0101278256
VA
207R00000X
Internal Medicine Physician
MD465726
PA
207RS0010X
Sports Medicine (Internal Medicine) Physician
MD465726
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103549391
—
PA
Enumeration date
06/12/2013
Last updated
06/22/2023
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