Provider Demographics
NPI:1710101969
Name:PATEL, HEMA A (BPHARM)
Entity Type:Individual
Prefix:
First Name:HEMA
Middle Name:A
Last Name:PATEL
Suffix:
Gender:F
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6726 SWEETBRIAR LN
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-3674
Mailing Address - Country:US
Mailing Address - Phone:312-996-4774
Mailing Address - Fax:
Practice Address - Street 1:6726 SWEETBRIAR LN
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-3674
Practice Address - Country:US
Practice Address - Phone:312-996-4774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology