Provider Demographics
NPI:1225031297
Name:PATEL, RACHNA DINUBHAI (MD)
Entity Type:Individual
Prefix:DR
First Name:RACHNA
Middle Name:DINUBHAI
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 N MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-2344
Mailing Address - Country:US
Mailing Address - Phone:540-213-7720
Mailing Address - Fax:540-213-7729
Practice Address - Street 1:17 N MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2344
Practice Address - Country:US
Practice Address - Phone:540-213-7720
Practice Address - Fax:540-213-7729
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101840518207W00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
180037467OtherRAILROAD MEDICARE
VA006307272Medicaid
VA284169OtherBLUE CROSS BLUE SHIELD
VA284169OtherBLUE CROSS BLUE SHIELD
180037467OtherRAILROAD MEDICARE