Provider Demographics
NPI:1538134317
Name:PATEL, HITESH KANTILAL
Entity Type:Individual
Prefix:MR
First Name:HITESH
Middle Name:KANTILAL
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 1:118 EVERGREEN CIR
Mailing Address - Street 2:
Mailing Address - City:DILLSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17019-9630
Mailing Address - Country:US
Mailing Address - Phone:717-432-5183
Mailing Address - Fax:
Practice Address - Street 1:118 EVERGREEN CIR
Practice Address - Street 2:
Practice Address - City:DILLSBURG
Practice Address - State:PA
Practice Address - Zip Code:17019-9630
Practice Address - Country:US
Practice Address - Phone:201-874-6138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2008-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17038183500000X
PARP439979183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist