Provider Demographics
NPI:1083936942
Name:PATEL, SHAILESH H (RPH)
Entity Type:Individual
Prefix:MR
First Name:SHAILESH
Middle Name:H
Last Name:PATEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:567 ROUTE 100 N
Mailing Address - Street 2:
Mailing Address - City:BECHTELSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19505-9263
Mailing Address - Country:US
Mailing Address - Phone:610-367-1052
Mailing Address - Fax:610-367-1056
Practice Address - Street 1:567 ROUTE 100 N
Practice Address - Street 2:
Practice Address - City:BECHTELSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19505-9263
Practice Address - Country:US
Practice Address - Phone:610-367-1052
Practice Address - Fax:610-367-1056
Is Sole Proprietor?:No
Enumeration Date:2010-02-19
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039139L183500000X
PARPI008427183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist