Provider Demographics
NPI:1730464991
Name:PATEL, UMESHBHAI ARVINDBHAI
Entity Type:Individual
Prefix:
First Name:UMESHBHAI
Middle Name:ARVINDBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 COLUMBIA AVE W
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-3181
Mailing Address - Country:US
Mailing Address - Phone:269-969-9500
Mailing Address - Fax:269-969-9144
Practice Address - Street 1:50 COLUMBIA AVE W
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-3181
Practice Address - Country:US
Practice Address - Phone:269-969-9500
Practice Address - Fax:269-969-9144
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302035974183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist