Provider Demographics
NPI:1073895678
Name:PATEL, URVASHI BIPINCHANDRA (PHARMD)
Entity Type:Individual
Prefix:
First Name:URVASHI
Middle Name:BIPINCHANDRA
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5610 ROSWELL RD
Mailing Address - Street 2:TARGET T-2333
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1102
Mailing Address - Country:US
Mailing Address - Phone:678-704-8121
Mailing Address - Fax:678-704-8131
Practice Address - Street 1:5610 ROSWELL RD
Practice Address - Street 2:TARGET T-2333
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1102
Practice Address - Country:US
Practice Address - Phone:678-704-8121
Practice Address - Fax:678-704-8131
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH022440183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist