Provider Demographics
NPI:1376841981
Name:PATEL, BHUPEN N (PHARMD)
Entity Type:Individual
Prefix:
First Name:BHUPEN
Middle Name:N
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2528 OLD FORT PKWY
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-4153
Mailing Address - Country:US
Mailing Address - Phone:615-896-1760
Mailing Address - Fax:615-896-4647
Practice Address - Street 1:2528 OLD FORT PKWY
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-4153
Practice Address - Country:US
Practice Address - Phone:615-896-1760
Practice Address - Fax:615-896-4647
Is Sole Proprietor?:No
Enumeration Date:2011-03-06
Last Update Date:2011-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8273183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist