Provider Demographics
NPI:1477717908
Name:PATEL, ARVINDKUMAR B (BPHARM)
Entity Type:Individual
Prefix:MR
First Name:ARVINDKUMAR
Middle Name:B
Last Name:PATEL
Suffix:
Gender:M
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1418 WYTHE PL
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10452-6904
Mailing Address - Country:US
Mailing Address - Phone:718-590-4242
Mailing Address - Fax:
Practice Address - Street 1:1418 WYTHE PL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-6904
Practice Address - Country:US
Practice Address - Phone:718-590-4242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030283183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist