Provider Demographics
NPI:1790412047
Name:PATEL, SNEHABEN AMRUTLAL
Entity Type:Individual
Prefix:
First Name:SNEHABEN
Middle Name:AMRUTLAL
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 1:8 TOZER RD APT 34
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-1051
Mailing Address - Country:US
Mailing Address - Phone:201-562-8979
Mailing Address - Fax:
Practice Address - Street 1:8 TOZER RD APT 34
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1051
Practice Address - Country:US
Practice Address - Phone:201-562-8979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH240686183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist