Provider Demographics
NPI:1427026020
Name:PATEL-DONNELLY, DIPTI (MD)
Entity Type:Individual
Prefix:
First Name:DIPTI
Middle Name:
Last Name:PATEL-DONNELLY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3040 WILLIAMS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4618
Mailing Address - Country:US
Mailing Address - Phone:571-350-8400
Mailing Address - Fax:703-940-8697
Practice Address - Street 1:8613 LEE HWY # 200N
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2171
Practice Address - Country:US
Practice Address - Phone:703-208-3155
Practice Address - Fax:703-280-9596
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2022-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101234634207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA541795091OtherPHCS POS/PPO
VA541795091OtherFIRST HEALTH
VA213821OtherCIGNA HMO
VA289351OtherANTHEM/TRIGON
VA500617-3212164OtherAETNA HMO
VA0870-0017OtherBCBS NCA- CARE FIRST
VA566083OtherNCPPO
VA1427026020Medicaid
VA235306OtherKAISER
VA144677OtherCIGNA PPO/POS
VA316256-2107283OtherMAMSI/OP CHOICE/ALLIANCE
VA541795091OtherONE HEALTH PLAN
VA2034858OtherUNITED HEALTHCARE
VA500617-7374435OtherAETNA PPO
VA541795091OtherTRICARE
VA0011757F90Medicare PIN
VA144677OtherCIGNA PPO/POS
VAG93254Medicare UPIN
VA1427026020Medicaid