Healthcare Provider Details

I. General information

NPI: 1942464557
Provider Name (Legal Business Name): RAJESH K PATEL RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2008
Last Update Date: 07/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1364 CLIFTON RD NE EMORY UNIVERSITY HOSPITAL PHARMACY
ATLANTA GA
30322-1059
US

IV. Provider business mailing address

2809 LIVSEY WOODS DR
TUCKER GA
30084-2585
US

V. Phone/Fax

Practice location:
  • Phone: 404-712-7273
  • Fax: 404-712-7577
Mailing address:
  • Phone: 770-934-8875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH016783
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: