Provider Demographics
NPI:1619781390
Name:PATEL, VIRAL (PA)
Entity type:Individual
Prefix:
First Name:VIRAL
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 W TWELVE STONES XING
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3353
Mailing Address - Country:US
Mailing Address - Phone:615-979-9119
Mailing Address - Fax:
Practice Address - Street 1:136 W TWELVE STONES XING
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-3353
Practice Address - Country:US
Practice Address - Phone:615-979-9119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant