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Ishan Sureshchandra Patel

Internal Medicine

Allopathic & Osteopathic Physicians

3300 Gallows Rd, Falls Church, VA 22042-3307

PECOS Enrollment

This provider is enrolled in PECOS as ISHAN PATEL.

Based on the most recent information from CMS, provider Ishan Sureshchandra Patel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1528556917
Provider Type
Individual
Full Name
Patel, Ishan Sureshchandra
Title
Dr.
Credential
MBBS

Gender
Male
Sole Proprietor
No
Enumeration Date
5/1/2018
Last Updated
6/14/2022

Contact Information

Practice Location

3300 Gallows Rd, Falls Church, VA 22042-3307

(571) 472-0681

Unlisted Fax

Mailing Location

3300 Gallows Rd, Falls Church, VA 22042-3300

(571) 472-0681

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 0101275365 Virginia
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD-48597 Iowa
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License MD-48597 Iowa

Ishan Sureshchandra Patel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Selassie, Leelie M

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Khan, Nadia K

Kama, N'Deye

Groves, Stephen

Elgawly, Sameh

Virginia Inpatient Specialists, P.C.

Kurdman, Kamiran

Shitaye, Amanuel Berhanu