Healthcare Provider Details

I. General information

NPI: 1932483518
Provider Name (Legal Business Name): MITAL PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2011
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 JOHN HAWKINS PKWY
HOOVER AL
35244-3533
US

IV. Provider business mailing address

6817 RIME VLG E
VESTAVIA HILLS AL
35216-6179
US

V. Phone/Fax

Practice location:
  • Phone: 205-982-9696
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202210439
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI02926100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: