Healthcare Provider Details

I. General information

NPI: 1851560981
Provider Name (Legal Business Name): MRS. KIRAN PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. KIRAN H. PATEL

II. Dates (important events)

Enumeration Date: 02/22/2008
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

254 E JIMMIE LEEDS RD UNIT 1
GALLOWAY NJ
08205-9717
US

IV. Provider business mailing address

21 DEL RAY RD
EGG HARBOR TOWNSHIP NJ
08234-3107
US

V. Phone/Fax

Practice location:
  • Phone: 609-748-2449
  • Fax:
Mailing address:
  • Phone: 917-325-5937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03149800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: