MEDICARE: BHUMI 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	43492	TN

General Provider Information

NPI Number	:	1851995153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHUMI PATEL

Provider Business Mailing Address
First Line	:	2710 22ND ST NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-2309
Country	:	US
Telephone Number	:	423-310-4148
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 DORCHESTER RD STE 107
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37405-4431
Country	:	US
Telephone Number	:	423-267-5060
Fax Number	:

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

Provider Enumeration Date	:	11/26/2020
Last Update Date	:	11/26/2020

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Directions to “ BHUMI PATEL ” Practice Location

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