Provider Demographics
NPI:1235737248
Name:ALPA PATEL MD PLLC
Entity Type:Organization
Organization Name:ALPA PATEL MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALPA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-852-5849
Mailing Address - Street 1:19450 DEERFIELD AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-6821
Mailing Address - Country:US
Mailing Address - Phone:410-852-5849
Mailing Address - Fax:321-273-8997
Practice Address - Street 1:3020 HAMAKER CT STE B106
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2236
Practice Address - Country:US
Practice Address - Phone:410-852-5849
Practice Address - Fax:321-273-8997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty