Provider Demographics
NPI:1154634186
Name:PATEL, SEJAL AMIT (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:SEJAL
Middle Name:AMIT
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:MISS
Other - First Name:SEJAL
Other - Middle Name:ROHIT
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1550 FRY RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-5813
Mailing Address - Country:US
Mailing Address - Phone:281-829-2565
Mailing Address - Fax:281-829-9560
Practice Address - Street 1:1550 FRY RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-5813
Practice Address - Country:US
Practice Address - Phone:281-829-2565
Practice Address - Fax:281-829-9560
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44085183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist