Healthcare Provider Details

I. General information

NPI: 1134894793
Provider Name (Legal Business Name): YESH PATEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2021
Last Update Date: 08/18/2021
Certification Date: 08/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 N 6TH ST
READING PA
19601-3012
US

IV. Provider business mailing address

2500 KNIGHTS RD APT 53-05
BENSALEM PA
19020-3463
US

V. Phone/Fax

Practice location:
  • Phone: 610-374-6282
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP455964
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: