Provider Demographics
NPI:1245835172
Name:PATEL, EKADASHI KIRIT (RPH)
Entity type:Individual
Prefix:
First Name:EKADASHI
Middle Name:KIRIT
Last Name:PATEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:EKA
Other - Middle Name:
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11611 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-1126
Mailing Address - Country:US
Mailing Address - Phone:513-742-1155
Mailing Address - Fax:
Practice Address - Street 1:11611 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-1126
Practice Address - Country:US
Practice Address - Phone:513-742-1155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03327047183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE