Provider Demographics
NPI:1942634639
Name:PATEL, KARNISH GHANSHYAMBHAI (PHARMD)
Entity Type:Individual
Prefix:
First Name:KARNISH
Middle Name:GHANSHYAMBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 JANINE WAY
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-5648
Mailing Address - Country:US
Mailing Address - Phone:908-393-2826
Mailing Address - Fax:
Practice Address - Street 1:260 DUNNS MILL RD
Practice Address - Street 2:
Practice Address - City:BORDENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08505-4748
Practice Address - Country:US
Practice Address - Phone:609-324-2820
Practice Address - Fax:609-324-2742
Is Sole Proprietor?:No
Enumeration Date:2013-08-29
Last Update Date:2016-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP447713183500000X
NJ28RI03619700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist