Provider Demographics
NPI:1235733015
Name:PATEL, AKASH
Entity Type:Individual
Prefix:
First Name:AKASH
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3321 WILLOW CRESCENT DR APT 34
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-2695
Mailing Address - Country:US
Mailing Address - Phone:703-901-2313
Mailing Address - Fax:
Practice Address - Street 1:3321 WILLOW CRESCENT DR APT 34
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2695
Practice Address - Country:US
Practice Address - Phone:703-901-2313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, Intermediate