Provider Demographics
NPI:1518421379
Name:PATEL, MILAN J
Entity Type:Individual
Prefix:MISS
First Name:MILAN
Middle Name:J
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 W MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-4640
Mailing Address - Country:US
Mailing Address - Phone:484-231-1014
Mailing Address - Fax:484-231-1865
Practice Address - Street 1:420 W MARSHALL ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-4640
Practice Address - Country:US
Practice Address - Phone:484-231-1014
Practice Address - Fax:484-231-1865
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-25
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444278183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1518421379OtherNPI