Provider Demographics
NPI:1609904408
Name:PATEL, SHEREEN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SHEREEN
Middle Name:
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 1:275 N EL CIELO RD
Mailing Address - Street 2:SUITE C4
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-6972
Mailing Address - Country:US
Mailing Address - Phone:760-416-7999
Mailing Address - Fax:760-416-7688
Practice Address - Street 1:275 N EL CIELO RD
Practice Address - Street 2:SUITE C4
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-6972
Practice Address - Country:US
Practice Address - Phone:760-416-4999
Practice Address - Fax:760-416-7688
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54916183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist