Provider Demographics
NPI:1932435344
Name:PATEL, NAIMIL J (RPH)
Entity Type:Individual
Prefix:
First Name:NAIMIL
Middle Name:J
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 1:554 W BASELINE RD
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-6019
Mailing Address - Country:US
Mailing Address - Phone:480-969-6234
Mailing Address - Fax:480-833-8158
Practice Address - Street 1:554 W BASELINE RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-6019
Practice Address - Country:US
Practice Address - Phone:480-969-6234
Practice Address - Fax:480-833-8158
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-20
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS015438183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist