Provider Demographics
NPI:1316599111
Name:PATEL, RUCHITA H
Entity Type:Individual
Prefix:
First Name:RUCHITA
Middle Name:H
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6510 BRINT RD APT 507
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-3120
Mailing Address - Country:US
Mailing Address - Phone:636-579-0508
Mailing Address - Fax:
Practice Address - Street 1:218 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-1131
Practice Address - Country:US
Practice Address - Phone:740-622-7480
Practice Address - Fax:740-622-1787
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03438530183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist