Individual
DR. JASHUBHAI G PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 SLATE CREEK RD, GRUNDY, VA 24614-6975
(276) 935-2678
Mailing address
1520 SLATE CREEK RD, GRUNDY, VA 24614-6975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101047543
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074349001
—
WV
05
—
010060397
—
VA
01
—
1064343
WV COMP/BL
WV
01
—
114467
ANTHEM BCBS
VA
01
—
155150
UMWA/FUNDS
VA
01
—
198867
FEDERAL BLACK LUNG
VA
05
—
64664725
—
KY
01
—
978037
MAMSI
VA
Enumeration date
06/09/2006
Last updated
05/04/2021
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