Provider Demographics
NPI:1629351481
Name:PATEL, NAINESH M (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:NAINESH
Middle Name:M
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1868 VIOLA LANE
Mailing Address - Street 2:
Mailing Address - City:HELLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18055
Mailing Address - Country:US
Mailing Address - Phone:610-838-1733
Mailing Address - Fax:
Practice Address - Street 1:1009 N 9TH ST
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-1209
Practice Address - Country:US
Practice Address - Phone:570-421-5025
Practice Address - Fax:570-421-6418
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440438183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist