Provider Demographics
NPI:1922355874
Name:PATEL, PRACHI SHILPESH (PHARMD)
Entity Type:Individual
Prefix:
First Name:PRACHI
Middle Name:SHILPESH
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 1:3407 WELLS BRANCH PKWY STE 675
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78728-6655
Mailing Address - Country:US
Mailing Address - Phone:512-388-1539
Mailing Address - Fax:
Practice Address - Street 1:3407 WELLS BRANCH PKWY STE 675
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78728-6655
Practice Address - Country:US
Practice Address - Phone:512-388-1539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-10
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22714183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist