Provider Demographics
NPI:1205173036
Name:PATEL, DIMPLE V (PHARM D)
Entity type:Individual
Prefix:
First Name:DIMPLE
Middle Name:V
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 W PEACHTREE ST NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-3846
Mailing Address - Country:US
Mailing Address - Phone:404-253-3547
Mailing Address - Fax:404-253-3686
Practice Address - Street 1:950 W PEACHTREE ST NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3846
Practice Address - Country:US
Practice Address - Phone:404-253-3547
Practice Address - Fax:404-253-3686
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH023263183500000X
AL14234183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist