Provider Demographics
NPI:1154080547
Name:PATEL, MONA (PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:MONA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 COFFEE COURT
Mailing Address - Street 2:PLEASE CONTACT ME AT ANY TIME. THANK YOU
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-1108
Mailing Address - Country:US
Mailing Address - Phone:757-389-2245
Mailing Address - Fax:
Practice Address - Street 1:4041 TAYLOR RD STE G
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-5525
Practice Address - Country:US
Practice Address - Phone:757-483-6404
Practice Address - Fax:757-483-0737
Is Sole Proprietor?:No
Enumeration Date:2021-12-13
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA00241832482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry