Provider Demographics
NPI:1285230524
Name:PATEL, REEMA SUNILKUMAR (PHARMD)
Entity Type:Individual
Prefix:
First Name:REEMA
Middle Name:SUNILKUMAR
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 1:11200 PROVIDENCE RD W
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-1535
Mailing Address - Country:US
Mailing Address - Phone:704-815-3341
Mailing Address - Fax:
Practice Address - Street 1:11200 PROVIDENCE RD W
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-1535
Practice Address - Country:US
Practice Address - Phone:704-815-3341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-10
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29815183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist