Provider Demographics
NPI:1447456959
Name:PATEL, SONAL A (MD)
Entity type:Individual
Prefix:
First Name:SONAL
Middle Name:A
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:667 KINGSBOROUGH SQ STE 101
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-4999
Mailing Address - Country:US
Mailing Address - Phone:757-842-4481
Mailing Address - Fax:757-312-3135
Practice Address - Street 1:908 EDEN WAY N STE 101
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3336
Practice Address - Country:US
Practice Address - Phone:757-312-6267
Practice Address - Fax:757-819-7185
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2024-06-20
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Provider Licenses
StateLicense IDTaxonomies
NY263061207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVVC453AMedicare PIN