MEDICARE: NIRAV PATEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03440611	OH

General Provider Information

NPI Number	:	1063363943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIRAV PATEL

Provider Business Mailing Address
First Line	:	11429 SUMNER WAY
Second Line	:
City	:	PLAIN CITY
State	:	OH
Zip	:	43064-2649
Country	:	US
Telephone Number	:	614-751-1736
Fax Number	:	614-751-1794

Provider Business Practice Location Address
First Line	:	11429 SUMNER WAY
Second Line	:
City	:	PLAIN CITY
State	:	OH
Zip	:	43064-2649
Country	:	US
Telephone Number	:	614-751-1736
Fax Number	:	614-751-1794

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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Directions to “ NIRAV PATEL ” Practice Location

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