Siddharth Shailesh Patel
Siddharth Shailesh Patel is a Physician Assistant in South Boston, Virginia. Qualified in 2023, 3 years ago. Practices as a sole proprietor and accepts Medicare assignment.
- Years since qualifying
- 3
- In the registry since
- 2022
Practice location Address checks out
6046 Bill Tuck HwySouth Boston, VA 24592-6442
Phone: (434) 222-5012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1205553914 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 24, 2022 |
| Last updated in NPPES | October 24, 2022 |
| Certification date | October 24, 2022 |
| Mailing address | 6046 Bill Tuck Hwy, South Boston, VA 24592-6442 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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