Individual
DR. KIRAN B PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9507 HOSPITAL AVENUE, NASSAWADOX, VA 23601-1929
(757) 594-2000
Mailing address
3998 FAIR RIDGE DR, SUITE # 300, FAIRFAX, VA 22033
(703) 766-9737
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101039746
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912978230
—
VA
Enumeration date
01/27/2006
Last updated
03/30/2015
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