Organization
MRUGENDRA R PATEL M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRUGENDRA R PATEL M.D. (PHYSICIAN)
(276) 964-7434
Entity
Organization
Contact information
Practice address
2951 FRONT ST, SUITE 2400, RICHLANDS, VA 24641-2055
(276) 964-7434
(276) 963-3917
Mailing address
2951 FRONT ST, SUITE 2400, RICHLANDS, VA 24641-2055
(276) 964-7434
(276) 963-3917
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101041877
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006103243
—
VA
01
—
280304
ANTHEM
VA
Enumeration date
02/18/2010
Last updated
07/21/2011
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