Provider Demographics
NPI:1285042564
Name:PATEL, PRIYA JASHUBHAI (DOCTOR OF PHARMACY)
Entity Type:Individual
Prefix:
First Name:PRIYA
Middle Name:JASHUBHAI
Last Name:PATEL
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 TOONE ST
Mailing Address - Street 2:APARTMENT 2686
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-5173
Mailing Address - Country:US
Mailing Address - Phone:276-298-7081
Mailing Address - Fax:
Practice Address - Street 1:200 MALCOLM DR
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-6110
Practice Address - Country:US
Practice Address - Phone:410-848-2152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-30
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22304183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist