Individual
NANDINI D PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2722 MERRILEE DR, STE 230, FAIRFAX, VA 22031-4420
(703) 698-4444
(703) 204-0116
Mailing address
2722 MERRILEE DR, STE 230, FAIRFAX, VA 22031-4420
(703) 698-4444
(703) 204-0116
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
A108194
CA
2085R0202X
Diagnostic Radiology Physician
Primary
0101250658
VA
2085R0202X
Diagnostic Radiology Physician
D0087974
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101250658
MEDICAL LICENSE
VA
Enumeration date
03/14/2007
Last updated
01/27/2020
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