Provider Demographics
NPI:1851773030
Name:PATEL, UNNATI PRADIPKUMAR (PHARMD)
Entity Type:Individual
Prefix:
First Name:UNNATI
Middle Name:PRADIPKUMAR
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 1:11185 LEE WAY APT 35412
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-6732
Mailing Address - Country:US
Mailing Address - Phone:678-548-8314
Mailing Address - Fax:
Practice Address - Street 1:3405 KENYON ST STE 107
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-5004
Practice Address - Country:US
Practice Address - Phone:619-223-5404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72170183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist