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Individual

DR. JITENDRA PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2020 S INDEPENDENCE BLVD, STE 1, VIRGINIA BEACH, VA 23453
(757) 471-3100
(757) 471-3624
Mailing address
1708 MERCHANTS HOPE CT, VIRGINIA BEACH, VA 23455
(757) 460-3076

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101036535
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6058949
VA
Enumeration date
09/27/2006
Last updated
02/02/2012
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