Provider Demographics
NPI:1376842187
Name:PATEL, HIREN CHANDUBHAI (R PH)
Entity type:Individual
Prefix:
First Name:HIREN
Middle Name:CHANDUBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1413 STRATFORD RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-9014
Mailing Address - Country:US
Mailing Address - Phone:919-259-4702
Mailing Address - Fax:
Practice Address - Street 1:1910 FALLS VALLEY DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3445
Practice Address - Country:US
Practice Address - Phone:919-844-5440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-18
Last Update Date:2021-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP439796183500000X
IL292972183500000X
NC17535183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist