Provider Demographics
NPI:1821685892
Name:PATEL, RISHILBHAI B (RPH)
Entity Type:Individual
Prefix:
First Name:RISHILBHAI
Middle Name:B
Last Name:PATEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 WEST AVE
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-6100
Mailing Address - Country:US
Mailing Address - Phone:770-606-0697
Mailing Address - Fax:770-606-0695
Practice Address - Street 1:824 WEST AVE
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-6100
Practice Address - Country:US
Practice Address - Phone:770-606-0687
Practice Address - Fax:770-606-0695
Is Sole Proprietor?:No
Enumeration Date:2020-12-24
Last Update Date:2020-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH032187183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist