Individual
MANALI R PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3636 HIGH ST, PORTSMOUTH, VA 23707
(757) 650-2725
(770) 573-9513
Mailing address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 650-2725
(770) 573-9513
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0101248147
VA
207RI0200X
Infectious Disease Physician
TP859
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101248147
BOARD OF MEDICINE LICENSE TO PRACTICE
VA
01
—
01062888A
INDIANA MEDICAL LICENSE
IN
01
—
TP859
KY MEDICAL LICENSE
KY
Enumeration date
11/01/2006
Last updated
08/16/2024
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