Provider Demographics
NPI:1255701934
Name:PATEL, NIMIT (RPH)
Entity type:Individual
Prefix:
First Name:NIMIT
Middle Name:
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 1:1100 NEWPORTVILLE RD APT 111
Mailing Address - Street 2:
Mailing Address - City:CROYDON
Mailing Address - State:PA
Mailing Address - Zip Code:19021-5019
Mailing Address - Country:US
Mailing Address - Phone:215-337-1438
Mailing Address - Fax:
Practice Address - Street 1:1100 NEWPORTVILLE RD APT 111
Practice Address - Street 2:
Practice Address - City:CROYDON
Practice Address - State:PA
Practice Address - Zip Code:19021-5019
Practice Address - Country:US
Practice Address - Phone:215-337-1438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP450150183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist