Healthcare Provider Details

I. General information

NPI: 1538134317
Provider Name (Legal Business Name): MR. HITESH KANTILAL PATEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 12/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 EVERGREEN CIR
DILLSBURG PA
17019-9630
US

IV. Provider business mailing address

118 EVERGREEN CIR
DILLSBURG PA
17019-9630
US

V. Phone/Fax

Practice location:
  • Phone: 201-874-6138
  • Fax:
Mailing address:
  • Phone: 717-432-5183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17038
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP439979
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: