Provider Demographics
NPI:1376604538
Name:PATEL, SHRITI BHARAT (MD)
Entity Type:Individual
Prefix:DR
First Name:SHRITI
Middle Name:BHARAT
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:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-446-5888
Mailing Address - Fax:757-446-5918
Practice Address - Street 1:825 FAIRFAX AVE
Practice Address - Street 2:SUITE 710
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1914
Practice Address - Country:US
Practice Address - Phone:757-446-5888
Practice Address - Fax:757-446-5918
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012499212084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1376604538OtherOPTIMA BEHAVIORAL HEALTH
VA1376604538OtherUNITED BEHAVIORAL HEALTH
NC5918068Medicaid
VAPAROtherVIRGINIA PREMIER HEALTH PLAN
VAPAROtherCIGNA BEHAVIORAL HEALTH
VAPAROtherMULTIPLAN
VA1376604538OtherMANAGED HEALTH NETWORK
VA600713825OtherMAGELLAN HEALTH SERVICES
VA1376604538OtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTY HEALTH NETWORK
VAPAROtherUSA MANAGED CARE
VAPAROtherCORVEL
VAPAROtherVIRGINIA HEALTH NETWORK
VA1376604538Medicaid
VA438224OtherANTHEM BEHAVIORAL HEALTH
VAPAROtherVALUE OPTIONS
VAPAROtherAETNA
VAPAROtherVIRGINIA PREMIER HEALTH PLAN
NC5918068Medicaid