Provider Demographics
NPI:1972860401
Name:PATEL, USHITA KHAGESHCHANDRA (DPM)
Entity Type:Individual
Prefix:MS
First Name:USHITA
Middle Name:KHAGESHCHANDRA
Last Name:PATEL
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14349 JUSTICE RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-6841
Mailing Address - Country:US
Mailing Address - Phone:804-837-4144
Mailing Address - Fax:804-823-9335
Practice Address - Street 1:14349 JUSTICE RD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-6841
Practice Address - Country:US
Practice Address - Phone:804-837-4144
Practice Address - Fax:804-823-9335
Is Sole Proprietor?:No
Enumeration Date:2012-04-22
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103301115213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery