Individual
NITIKSHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14010 SMOKETOWN RD, SUITE 117, WOODBRIDGE, VA 22192-4722
(703) 580-0181
(703) 897-8763
Mailing address
14010 SMOKETOWN RD, SUITE 117, WOODBRIDGE, VA 22192-4722
(703) 580-0181
(703) 897-8763
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110005650
VA
Other
Enumeration date
03/07/2017
Last updated
04/06/2017
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