Provider Demographics
NPI:1467691519
Name:PATEL, NEHALKUMAR RANJIT (RPH)
Entity Type:Individual
Prefix:MR
First Name:NEHALKUMAR
Middle Name:RANJIT
Last Name:PATEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:NEHAL
Other - Middle Name:RANJIT
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:47814 ALPINE DR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-4419
Mailing Address - Country:US
Mailing Address - Phone:734-968-2093
Mailing Address - Fax:
Practice Address - Street 1:47814 ALPINE DR
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374-4419
Practice Address - Country:US
Practice Address - Phone:734-968-2093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-12
Last Update Date:2022-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302034645183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist