Provider Demographics
NPI:1417407990
Name:PATEL, SACHEEN
Entity Type:Individual
Prefix:
First Name:SACHEEN
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11425 CAROLINA PLACE PKWY
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28134-8816
Mailing Address - Country:US
Mailing Address - Phone:704-541-0216
Mailing Address - Fax:704-541-6802
Practice Address - Street 1:11425 CAROLINA PLACE PKWY
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28134-8816
Practice Address - Country:US
Practice Address - Phone:704-541-0216
Practice Address - Fax:704-541-6802
Is Sole Proprietor?:No
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18632183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist