Provider Demographics
NPI:1508218322
Name:PATEL, AJAY RAMJI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AJAY
Middle Name:RAMJI
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 RICE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-4949
Mailing Address - Country:US
Mailing Address - Phone:651-326-9020
Mailing Address - Fax:651-326-9080
Practice Address - Street 1:980 RICE ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55117
Practice Address - Country:US
Practice Address - Phone:651-326-9020
Practice Address - Fax:651-326-9080
Is Sole Proprietor?:No
Enumeration Date:2016-07-05
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN122820183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist