Provider Demographics
NPI:1790416477
Name:PATEL, SAHIL (DO)
Entity type:Individual
Prefix:
First Name:SAHIL
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12112 GARDEN GROVE CIR UNIT 402
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-9012
Mailing Address - Country:US
Mailing Address - Phone:443-414-1707
Mailing Address - Fax:
Practice Address - Street 1:1215 LEE ST.
Practice Address - Street 2:P.O. BOX 800133
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-0816
Practice Address - Country:US
Practice Address - Phone:434-297-7199
Practice Address - Fax:434-924-9578
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2025-06-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
VA0116036280207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine