Provider Demographics
NPI:1225302458
Name:PATEL, KRUTIKA ARJANBHAI (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:KRUTIKA
Middle Name:ARJANBHAI
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 1:431 NEW KARNER RD STE 4
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-3868
Mailing Address - Country:US
Mailing Address - Phone:630-267-6742
Mailing Address - Fax:
Practice Address - Street 1:431 NEW KARNER RD STE 4
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-3868
Practice Address - Country:US
Practice Address - Phone:630-267-6742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-06
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056626-1183500000X
IL051295409183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist