Provider Demographics
NPI:1477852374
Name:PATEL, NARENDRABHAI N
Entity Type:Individual
Prefix:MR
First Name:NARENDRABHAI
Middle Name:N
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 1:10820 ABBOTTS BRIDGE RD
Mailing Address - Street 2:RITE AID PHARMACY # 11731
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-5793
Mailing Address - Country:US
Mailing Address - Phone:770-814-8919
Mailing Address - Fax:770-495-8672
Practice Address - Street 1:10820 ABBOTTS BRIDGE RD
Practice Address - Street 2:RITE AID PHARMACY # 11731
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-5793
Practice Address - Country:US
Practice Address - Phone:770-814-8919
Practice Address - Fax:770-495-8672
Is Sole Proprietor?:No
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH022005183500000X
MI5302034036183500000X
MD16883183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist