Provider Demographics
NPI:1891459566
Name:PATEL, SOHINI UJESH (RPH)
Entity Type:Individual
Prefix:
First Name:SOHINI
Middle Name:UJESH
Last Name:PATEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 CHAPEL GROVE LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-1771
Mailing Address - Country:US
Mailing Address - Phone:803-381-7173
Mailing Address - Fax:
Practice Address - Street 1:11100 PARKSIDE DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-1960
Practice Address - Country:US
Practice Address - Phone:865-675-8180
Practice Address - Fax:865-272-0788
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38547183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN38547OtherBOARD OF PHARMACY