Provider Demographics
NPI:1053304964
Name:PATEL, TUSHAR (RPH,MBA)
Entity Type:Individual
Prefix:
First Name:TUSHAR
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:RPH,MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9314 BALSAM GAP
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-7083
Mailing Address - Country:US
Mailing Address - Phone:281-778-7844
Mailing Address - Fax:
Practice Address - Street 1:3316 HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4406
Practice Address - Country:US
Practice Address - Phone:281-980-5790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02623800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist