Provider Demographics
NPI:1467675132
Name:PATEL, VINAY BIPIN (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:VINAY
Middle Name:BIPIN
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 1:106 LA JOLLA LN
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5752
Mailing Address - Country:US
Mailing Address - Phone:352-246-3073
Mailing Address - Fax:
Practice Address - Street 1:106 LA JOLLA LN
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-5752
Practice Address - Country:US
Practice Address - Phone:352-246-3073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59122183500000X
NC21493183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist