Basic Information
| Provider Information | |||||||||
| NPI: | 1972958445 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | KUNAL | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2810 NORTH PARHAM ROAD | ||||||||
| Address2: | SUITE 315 | ||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 23294 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8042888327 | ||||||||
| FaxNumber: | 8042823744 | ||||||||
| Practice Location | |||||||||
| Address1: | 2810 NORTH PARHAM ROAD | ||||||||
| Address2: | SUITE 315 | ||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 23294 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8042888327 | ||||||||
| FaxNumber: | 8042823744 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/03/2016 | ||||||||
| LastUpdateDate: | 08/16/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/16/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 2085R0204X | 0101263928 | VA | Y | Allopathic & Osteopathic Physicians | Radiology | Vascular & Interventional Radiology |
No ID Information.