Healthcare Provider Details

I. General information

NPI: 1043567381
Provider Name (Legal Business Name): DILIPKUMAR S PATEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2012
Last Update Date: 08/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 COLUMBIA AVE E
BATTLE CREEK MI
49015-3737
US

IV. Provider business mailing address

427 PINE KNOLL CT APT# 3B
BATTLE CREEK MI
49014-7897
US

V. Phone/Fax

Practice location:
  • Phone: 269-965-3237
  • Fax:
Mailing address:
  • Phone: 701-429-8740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302040770
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: