Provider Demographics
NPI:1720258049
Name:PATEL, MIHIR HARISH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MIHIR
Middle Name:HARISH
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 PENN PLZ E # PP-13Q
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105-2258
Mailing Address - Country:US
Mailing Address - Phone:973-466-7896
Mailing Address - Fax:
Practice Address - Street 1:3 PENN PLZ E # PP-13Q
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-2258
Practice Address - Country:US
Practice Address - Phone:973-466-7896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02862600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist