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Organization

TUSHAR G. PATEL, M.D. P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TUSHAR G. PATEL M.D. (PRESIDENT)
(276) 963-2231
Entity
Organization

Contact information

Practice address
3150 CLINCH ST, SUITE 106, RICHLANDS, VA 24641-2159
(276) 963-2231
(276) 964-9701
Mailing address
253 GARY DR, RICHLANDS, VA 24641-2682
(276) 963-2231
(276) 964-9701

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101037830
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0017933000
FEDERAL BLACK LUNG
VA
05
006013198
VA
01
030090
ANTHEM BCBS
VA
05
3810016951
WV
01
4660972
AETNA
VA
Enumeration date
11/10/2009
Last updated
03/18/2010
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