Provider Demographics
NPI:1679867626
Name:PATEL, VIKASH HEMANT (PHARMD)
Entity Type:Individual
Prefix:
First Name:VIKASH
Middle Name:HEMANT
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 1:2400 4TH AVE
Mailing Address - Street 2:APT 459
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-3404
Mailing Address - Country:US
Mailing Address - Phone:206-931-9892
Mailing Address - Fax:
Practice Address - Street 1:2400 4TH AVE
Practice Address - Street 2:APT 459
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-3404
Practice Address - Country:US
Practice Address - Phone:206-931-9892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60134840183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist