MEDICARE: VANDANA 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	03439155	OH

General Provider Information

NPI Number	:	1639763246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANDANA PATEL

Provider Business Mailing Address
First Line	:	8282 GOLDEN LINK BLVD
Second Line	:
City	:	NORTHFIELD
State	:	OH
Zip	:	44067-2067
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8282 GOLDEN LINK BLVD
Second Line	:
City	:	NORTHFIELD
State	:	OH
Zip	:	44067-2067
Country	:	US
Telephone Number	:	330-468-9183
Fax Number	:

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

Provider Enumeration Date	:	02/24/2021
Last Update Date	:	09/25/2022

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Directions to “ VANDANA PATEL ” Practice Location

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