NPI 1205553914

Siddharth Shailesh Patel

Practitioner Physician Assistant South Boston, VA

Practice location

Address: 6046 Bill Tuck Hwy, South Boston, VA 24592-6442
Phone: (434) 222-5012

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1205553914
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Oct 2022
Record last updated: 24 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.