Provider Demographics
NPI:1992940977
Name:PATEL, PARISHRAM BIPINCHANDRA (MBBS)
Entity type:Individual
Prefix:DR
First Name:PARISHRAM
Middle Name:BIPINCHANDRA
Last Name:PATEL
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:DR
Other - First Name:BIPINCHANDRA
Other - Middle Name:
Other - Last Name:PATEL PARISHRAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS
Mailing Address - Street 1:8260 ATLEE RD
Mailing Address - Street 2:SUITE 3031
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-1844
Mailing Address - Country:US
Mailing Address - Phone:804-764-7965
Mailing Address - Fax:804-764-7969
Practice Address - Street 1:8260 ATLEE RD
Practice Address - Street 2:SUITE 3031
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-1844
Practice Address - Country:US
Practice Address - Phone:804-764-7965
Practice Address - Fax:804-764-7969
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-04
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101249443208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist