Provider Demographics
NPI:1881625234
Name:PATEL, MINABEN DILIPKUMAR (MD)
Entity type:Individual
Prefix:
First Name:MINABEN
Middle Name:DILIPKUMAR
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2951 W. FRONT STREET CLINCH VALLEY MEDICAL PLAZA
Mailing Address - Street 2:SUITE 1700
Mailing Address - City:RICHLANDS
Mailing Address - State:VA
Mailing Address - Zip Code:24641
Mailing Address - Country:US
Mailing Address - Phone:276-964-9296
Mailing Address - Fax:276-964-9296
Practice Address - Street 1:2951 W. FRONT ST. CLINCH VALLEY MEDICAL PLAZA
Practice Address - Street 2:SUITE 1700
Practice Address - City:RICHLANDS
Practice Address - State:VA
Practice Address - Zip Code:24641
Practice Address - Country:US
Practice Address - Phone:276-964-9296
Practice Address - Fax:276-964-9296
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01010348872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry