Provider Demographics
NPI:1952683492
Name:PATEL, PARESHKUMAR RAMBHAI (RPH)
Entity Type:Individual
Prefix:
First Name:PARESHKUMAR
Middle Name:RAMBHAI
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 1:1927 EMMORTON RD
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6203
Mailing Address - Country:US
Mailing Address - Phone:410-838-8573
Mailing Address - Fax:410-838-9718
Practice Address - Street 1:1927 EMMORTON RD
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6203
Practice Address - Country:US
Practice Address - Phone:410-838-8573
Practice Address - Fax:410-838-9718
Is Sole Proprietor?:No
Enumeration Date:2011-09-11
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17031183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist