Provider Demographics
NPI:1699375733
Name:PATEL, BIRJU CHIRAG
Entity Type:Individual
Prefix:
First Name:BIRJU
Middle Name:CHIRAG
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 1:185 FOREST GLN
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-1900
Mailing Address - Country:US
Mailing Address - Phone:413-427-1255
Mailing Address - Fax:
Practice Address - Street 1:141 SPRINGFIELD RD
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-1819
Practice Address - Country:US
Practice Address - Phone:413-572-0800
Practice Address - Fax:413-568-5872
Is Sole Proprietor?:No
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH235471183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist