Provider Demographics
NPI:1407986599
Name:PATEL, DEVANG KIRIT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DEVANG
Middle Name:KIRIT
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 1:465 PERIWINKLE ST
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-4401
Mailing Address - Country:US
Mailing Address - Phone:714-680-0530
Mailing Address - Fax:
Practice Address - Street 1:7860 NORWALK BLVD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606-2185
Practice Address - Country:US
Practice Address - Phone:562-692-2184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52986183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist