Provider Demographics
NPI:1750650727
Name:PATEL, ANISHA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANISHA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2825 WILSON BLVD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-3805
Mailing Address - Country:US
Mailing Address - Phone:703-243-6906
Mailing Address - Fax:
Practice Address - Street 1:2825 WILSON BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-3805
Practice Address - Country:US
Practice Address - Phone:703-243-6906
Practice Address - Fax:703-527-0270
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP445916183500000X
VA0202210900183500000X
DCPH100001061183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist