Provider Demographics
NPI:1144576554
Name:PATEL, NIRAV (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:NIRAV
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:565 BOUND BROOK RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NJ
Mailing Address - Zip Code:08846-1535
Mailing Address - Country:US
Mailing Address - Phone:732-968-0414
Mailing Address - Fax:732-424-1988
Practice Address - Street 1:565 BOUND BROOK RD
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NJ
Practice Address - Zip Code:08846-1535
Practice Address - Country:US
Practice Address - Phone:732-968-0414
Practice Address - Fax:732-424-1988
Is Sole Proprietor?:No
Enumeration Date:2012-08-03
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03493700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist