Individual
MR. PIYUSH R PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13880 BRADDOCK RD, STE 209, CENTREVILLE, VA 20121
(703) 818-2772
(703) 818-2773
Mailing address
13880 BRADDOCK RD, STE 209, CENTREVILLE, VA 20121
(703) 818-2772
(703) 818-2773
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101047220
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110075325
RAILROAD MEDICARE
VA
05
—
6004008
—
VA
Enumeration date
04/27/2006
Last updated
06/23/2008
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