Provider Demographics
NPI:1306837372
Name:PATEL, NIKESH C (PHARMD, PHD)
Entity Type:Individual
Prefix:DR
First Name:NIKESH
Middle Name:C
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 EDEN AVENUE
Mailing Address - Street 2:PO BOX 670004
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45267-0004
Mailing Address - Country:US
Mailing Address - Phone:513-558-6093
Mailing Address - Fax:513-558-0731
Practice Address - Street 1:234 GOODMAN STREET
Practice Address - Street 2:THE UNIVERSITY HOSPITAL, DEPARTMENT OF PSYCHIATRY
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219
Practice Address - Country:US
Practice Address - Phone:513-410-2385
Practice Address - Fax:513-558-0731
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-26578183500000X
TX40090183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist