Healthcare Provider Details

I. General information

NPI: 1831007723
Provider Name (Legal Business Name): PUJA PATEL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 LAKE CIRCLE DR
INDIANAPOLIS IN
46268-4220
US

IV. Provider business mailing address

4519 GOLDEN EAGLE CT
ZIONSVILLE IN
46077-4601
US

V. Phone/Fax

Practice location:
  • Phone: 317-459-0018
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number26025657A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: