Provider Demographics
NPI:1417730763
Name:PATEL, MEET (NP)
Entity Type:Individual
Prefix:
First Name:MEET
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4053 TAYLOR RD STE K
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-5526
Mailing Address - Country:US
Mailing Address - Phone:757-483-6401
Mailing Address - Fax:757-686-3025
Practice Address - Street 1:4053 TAYLOR RD STE K
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-5526
Practice Address - Country:US
Practice Address - Phone:757-483-6401
Practice Address - Fax:757-686-3025
Is Sole Proprietor?:No
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024187824363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily