Provider Demographics
NPI:1770947293
Name:PATEL, JOITABHAI NARSINHDAS (RPH)
Entity type:Individual
Prefix:MR
First Name:JOITABHAI
Middle Name:NARSINHDAS
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 1:5001 OXFORDSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-7324
Mailing Address - Country:US
Mailing Address - Phone:704-321-0008
Mailing Address - Fax:704-321-0008
Practice Address - Street 1:3209 PINEVILLE MATTHEWS RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-9301
Practice Address - Country:US
Practice Address - Phone:704-543-6255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC06824183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist