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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SIDDHARTH SHAILESH PATEL

Active Sole Proprietor

SIDDHARTH SHAILESH PATEL is a Physician Assistant healthcare provider located in SOUTH BOSTON, Virginia. NPI 1205553914 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SOUTH BOSTON, VA

Registration Details

NPI Number
1205553914
Provider Type
Individual
Gender
Male
NPI Issued
Oct 24, 2022 (3.7973945317158 yrs)
Last Updated
Oct 24, 2022
Sole Proprietor
Yes

Practice Information

Address
6046 BILL TUCK HWY
SOUTH BOSTON, VA, 245926442
Browse VA providers · Browse ZIP 24592
Phone
4342225012
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SOUTH BOSTON, VA

Name Credential NPI
JENNIFER N BOHANON 1316954597
JOSEPH MICHAEL COMPTON 1023025202
BARRY DODD MCCORMICK PA-C 1952492076
MR. CHRISTOPHER CHARLES KEMP P.A. 1235388125
MRS. JENILEE ROSE FOSTER P.A. 1861641540
MR. DUSTIN B ALLEN P.A. 1457646861
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.