Provider Demographics
NPI:1851389852
Name:PATEL, MANISH ARUN (MD,FAAOS)
Entity Type:Individual
Prefix:DR
First Name:MANISH
Middle Name:ARUN
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD,FAAOS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8580 MAGELLAN PKWY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-1149
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:210 FAIRVIEW DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:FRANKLIN
Practice Address - State:VA
Practice Address - Zip Code:23851
Practice Address - Country:US
Practice Address - Phone:757-562-7301
Practice Address - Fax:757-562-7305
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101239321207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010266220Medicaid
VA246910OtherBLUE CROSS BLUE SHIELD
VA010224F26Medicare UPIN