Individual
ANIL J PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
224D CORNWALL ST., NW, SUITE 303, LEESBURG, VA 20176-2704
(703) 777-8840
(703) 777-0887
Mailing address
224D CORNWALL ST NW STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(571) 291-9786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101045895
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0101045895
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740259340
—
VA
Enumeration date
03/16/2006
Last updated
11/29/2022
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