Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 0401411948 | VA |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 1000620 | DC |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 14011 | MD |
N | 204E00000X | Oral & Maxillofacial Surgeon | D66183 | MD |
N | 204E00000X | Oral & Maxillofacial Surgeon | MD036657 | DC |
NPI | 1326261058 |
---|---|
Provider Name | Dr. Snehal Patel |
First Address | Vienna, VA 22180-3511 |
Second Address | Vienna, VA 22180-3511 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 02/09/2009 |