Provider Demographics
NPI:1750871539
Name:PATEL, HIRAL R (DO)
Entity type:Individual
Prefix:
First Name:HIRAL
Middle Name:R
Last Name:PATEL
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11616 TIMBERTON CT
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-6522
Mailing Address - Country:US
Mailing Address - Phone:540-845-3277
Mailing Address - Fax:
Practice Address - Street 1:13135 LEE JACKSON MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-1904
Practice Address - Country:US
Practice Address - Phone:703-348-8242
Practice Address - Fax:703-348-8242
Is Sole Proprietor?:No
Enumeration Date:2018-05-16
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC210001752208000000X
PAOS024737C208000000X
NY335132208000000X
MDH0095520208000000X
NJ25IA12592000208000000X
VA0102206414208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics