Provider Demographics
NPI:1851553507
Name:PATEL, NEHAL R (RPH)
Entity Type:Individual
Prefix:
First Name:NEHAL
Middle Name:R
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 1:1368 LINDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-4702
Mailing Address - Country:US
Mailing Address - Phone:718-342-3131
Mailing Address - Fax:718-569-0073
Practice Address - Street 1:1368 LINDEN BLVD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212
Practice Address - Country:US
Practice Address - Phone:718-342-3131
Practice Address - Fax:718-569-0073
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052328183500000X
NJ28RI03008600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist