Provider Demographics
NPI:1235366972
Name:PATEL, VAISHALI (MD)
Entity Type:Individual
Prefix:
First Name:VAISHALI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VAISHALI
Other - Middle Name:MANSUKHLAL
Other - Last Name:KASUNDRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 980341
Mailing Address - Street 2:VCUHS, DIV OF GASTROENEROLOGY, HEPATOLOGY AND NUTRITION
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0341
Mailing Address - Country:US
Mailing Address - Phone:804-828-4060
Mailing Address - Fax:804-828-5348
Practice Address - Street 1:1200 E BROAD ST
Practice Address - Street 2:DIV OF GASTROENTEROLOGY & HEPATOLOGY,W HOSP, FL 14
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5058
Practice Address - Country:US
Practice Address - Phone:804-828-4060
Practice Address - Fax:804-828-5348
Is Sole Proprietor?:No
Enumeration Date:2009-06-21
Last Update Date:2016-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101258962207RT0003X
VA0116023353390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207RT0003XAllopathic & Osteopathic PhysiciansInternal MedicineTransplant Hepatology