MEDICARE: PRIYA SAPAN 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	333600000X	Pharmacy	24543	TX

General Provider Information

NPI Number	:	1609471614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRIYA SAPAN PATEL

Provider Business Mailing Address
First Line	:	5410 PIPERS CREEK CT
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4673
Country	:	US
Telephone Number	:	248-842-3321
Fax Number	:

Provider Business Practice Location Address
First Line	:	5510 W OREM DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77085-1250
Country	:	US
Telephone Number	:	713-723-1118
Fax Number	:	713-723-5992

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

Provider Enumeration Date	:	11/30/2020
Last Update Date	:	11/30/2020

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Directions to “ PRIYA SAPAN PATEL ” Practice Location

Language	Start Address	Practice Location

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