Provider Demographics
NPI:1497195374
Name:PATEL, RITA RAMESH (MD)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:RAMESH
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:97 GREAT TEAYS BLVD STE 6
Mailing Address - Street 2:
Mailing Address - City:SCOTT DEPOT
Mailing Address - State:WV
Mailing Address - Zip Code:25560-9816
Mailing Address - Country:US
Mailing Address - Phone:304-757-6999
Mailing Address - Fax:304-201-5019
Practice Address - Street 1:12 KANAWHA TER
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:WV
Practice Address - Zip Code:25177-2750
Practice Address - Country:US
Practice Address - Phone:304-201-1130
Practice Address - Fax:304-201-1134
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2019-10-15
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Provider Licenses
StateLicense IDTaxonomies
WV27595207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1497195374Medicaid