Individual
AISHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9450 INNOVATION DR, MANASSAS, VA 20110-2214
(571) 350-8400
(703) 940-8692
Mailing address
3040 WILLIAMS DR STE 100, FAIRFAX, VA 22031-4618
(571) 350-8400
(571) 222-2202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110010358
VA
363AM0700X
Medical Physician Assistant
Primary
0110010358
VA
Other
Enumeration date
02/18/2016
Last updated
11/11/2025
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