Provider Demographics
NPI:1477853406
Name:PATEL, HEMA A (RPH)
Entity Type:Individual
Prefix:MRS
First Name:HEMA
Middle Name:A
Last Name:PATEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:989 SUNRISE AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-4506
Mailing Address - Country:US
Mailing Address - Phone:916-773-4115
Mailing Address - Fax:916-773-4173
Practice Address - Street 1:989 SUNRISE AVE
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-4506
Practice Address - Country:US
Practice Address - Phone:916-773-4115
Practice Address - Fax:916-773-4173
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46868183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist