Provider Demographics
NPI:1922035815
Name:PATEL, NOEL PAUL (DPM)
Entity type:Individual
Prefix:
First Name:NOEL
Middle Name:PAUL
Last Name:PATEL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5311 PATTERSON AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226
Mailing Address - Country:US
Mailing Address - Phone:804-285-1523
Mailing Address - Fax:804-285-0613
Practice Address - Street 1:5311 PATTERSON AVE
Practice Address - Street 2:SUITE 110 THE FOOT CENTER INC
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226
Practice Address - Country:US
Practice Address - Phone:804-285-1523
Practice Address - Fax:804-285-0613
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103000698213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1922035815Medicaid
VA028209OtherANTHEM BCBS
VA9302239Medicaid
VA028209OtherANTHEM BCBS
VA480000240Medicare PIN