Provider Demographics
NPI:1184224354
Name:PATEL, KRISH A (PHARMD)
Entity Type:Individual
Prefix:
First Name:KRISH
Middle Name:A
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 S TROOPER RD
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-3416
Mailing Address - Country:US
Mailing Address - Phone:610-630-2933
Mailing Address - Fax:
Practice Address - Street 1:650 S TROOPER RD
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19403-3416
Practice Address - Country:US
Practice Address - Phone:610-630-2944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25060183500000X
DEA1-0005405183500000X
PARP454539183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist