Provider Demographics
NPI:1184942427
Name:PATEL, CHIRAG PARSOTTAM
Entity type:Individual
Prefix:
First Name:CHIRAG
Middle Name:PARSOTTAM
Last Name:PATEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1942 E ANAHEIM ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90813-3908
Mailing Address - Country:US
Mailing Address - Phone:562-591-0549
Mailing Address - Fax:562-591-0540
Practice Address - Street 1:1942 E ANAHEIM ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-3908
Practice Address - Country:US
Practice Address - Phone:562-591-0549
Practice Address - Fax:562-591-0540
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-11
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59332183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist