Provider Demographics
NPI:1831168004
Name:PATEL, DINKAR N (MD)
Entity type:Individual
Prefix:DR
First Name:DINKAR
Middle Name:N
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 SLATE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:GRUNDY
Mailing Address - State:VA
Mailing Address - Zip Code:24614-6975
Mailing Address - Country:US
Mailing Address - Phone:276-935-2148
Mailing Address - Fax:276-935-7270
Practice Address - Street 1:1520 SLATE CREEK RD
Practice Address - Street 2:
Practice Address - City:GRUNDY
Practice Address - State:VA
Practice Address - Zip Code:24614-6975
Practice Address - Country:US
Practice Address - Phone:276-935-2148
Practice Address - Fax:276-935-7270
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101034343207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA178386OtherANTHEM BCBS
VA610110700OtherFEDERAL BLACK LUNG
VA006091211Medicaid
WV0083699000Medicaid
VA5592051OtherAETNA
KY64662224Medicaid
C08037Medicare PIN
VA610110700OtherFEDERAL BLACK LUNG
VAB05064Medicare UPIN