Provider Demographics
NPI:1225888068
Name:PATEL, PREYA JAYESH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PREYA
Middle Name:JAYESH
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 1:4017 VICTORY DR APT 220
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-7539
Mailing Address - Country:US
Mailing Address - Phone:850-501-2310
Mailing Address - Fax:
Practice Address - Street 1:4017 VICTORY DR APT 220
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-7539
Practice Address - Country:US
Practice Address - Phone:850-501-2310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73465183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist