Provider Demographics
NPI:1558798231
Name:PATEL, NEIL ANIL (DO)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:ANIL
Last Name:PATEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 18TH ST STE 606
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-3236
Mailing Address - Country:US
Mailing Address - Phone:304-424-4588
Mailing Address - Fax:304-424-4577
Practice Address - Street 1:600 18TH ST STE 606
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-3236
Practice Address - Country:US
Practice Address - Phone:304-424-4588
Practice Address - Fax:304-424-4577
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-26
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVED0403A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine