Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 0101245868 | VA |
Y | 111NI0900X | Internist | 0101245868 | VA |
N | 207RG0300X | Geriatric Medicine | 0101245868 | VA |
NPI | 1154558997 |
---|---|
Provider Name | Priyanka Amit Patel |
First Address | Norfolk, VA 23505-4615 |
Second Address | Norfolk, VA 23502-3933 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2009 |
Last Update Date | 03/08/2020 |