Provider Demographics
NPI:1194000646
Name:PATEL, MINAL SHARAD (PHARMD)
Entity Type:Individual
Prefix:
First Name:MINAL
Middle Name:SHARAD
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 1:585 NASHVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-3123
Mailing Address - Country:US
Mailing Address - Phone:615-451-4139
Mailing Address - Fax:615-451-7672
Practice Address - Street 1:585 NASHVILLE PIKE
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-3123
Practice Address - Country:US
Practice Address - Phone:615-451-4139
Practice Address - Fax:615-451-7672
Is Sole Proprietor?:No
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13127183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist