Provider Demographics
NPI:1821323247
Name:PATEL, RUPALI GAMAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:RUPALI
Middle Name:GAMAN
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 1:1109 W NC HIGHWAY 54
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-5548
Mailing Address - Country:US
Mailing Address - Phone:919-403-8059
Mailing Address - Fax:919-403-8475
Practice Address - Street 1:801 MEBANE OAKS
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-5548
Practice Address - Country:US
Practice Address - Phone:919-563-5521
Practice Address - Fax:919-563-5528
Is Sole Proprietor?:No
Enumeration Date:2009-10-03
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17711183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist