Organization
SPECIALIST IN INFECTIOUS DISEASES, LLC
Active
Organization
SPECIALIST IN INFECTIOUS DISEASES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANALI PATEL MD (OWNER)
(502) 558-4687
Entity
Organization
Contact information
Practice address
1404 GUNSTON CT, CHESAPEAKE, VA 23322-8100
(757) 650-2725
Mailing address
1404 GUNSTON CT, CHESAPEAKE, VA 23322-8100
(757) 650-2725
(812) 944-5403
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200858870A
—
IN
05
—
64130487
—
KY
Enumeration date
12/03/2007
Last updated
08/16/2024
Update your record
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