Provider Demographics
NPI:1740620186
Name:PATEL, NEELRAJ G (RPH)
Entity type:Individual
Prefix:MR
First Name:NEELRAJ
Middle Name:G
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 1:5350 DUNLAY DR
Mailing Address - Street 2:UNIT 116
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-1561
Mailing Address - Country:US
Mailing Address - Phone:816-878-3718
Mailing Address - Fax:
Practice Address - Street 1:3601 N FREEWAY BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-2902
Practice Address - Country:US
Practice Address - Phone:816-878-3718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-30
Last Update Date:2013-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57694183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist