Provider Demographics
NPI:1497078927
Name:PATEL, VISHNUBHAI CHIMANLAL (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:VISHNUBHAI
Middle Name:CHIMANLAL
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 MARTHA ST
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-4403
Mailing Address - Country:US
Mailing Address - Phone:908-756-2477
Mailing Address - Fax:
Practice Address - Street 1:4 MARTHA ST
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-4403
Practice Address - Country:US
Practice Address - Phone:908-756-2477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044303-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist