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Individual

DR. RAJNIKANT R PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1520 SLATE CREEK RD, GRUNDY, VA 24614-6975
(276) 935-6444
(276) 935-1875
Mailing address
1520 SLATE CREEK RD, GRUNDY, VA 24614-6975
(276) 935-6444
(276) 935-1875

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101027849
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010039932
VA
05
0106040000
WV
01
4356476
AETNA
VI
01
453693
ANTHEM BCBS OF VA
VA
05
64661366
KY
Enumeration date
03/17/2006
Last updated
03/09/2010
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