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NPI Code Detail

MEDICARE: KHYATI CHIRAG PATEL

MEDICARE:   KHYATI CHIRAG PATEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP440525PA

General Provider Information

NPI Number : 1033344338
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHYATI CHIRAG PATEL
Provider Business Mailing Address
First Line : 1712 SAINT JOHNS CT
Second Line :
City : BENSALEM
State : PA
Zip : 19020-4251
Country : US
Telephone Number : 215-490-3866
Fax Number :
Provider Business Practice Location Address
First Line : 4011 COTTMAN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19135-1005
Country : US
Telephone Number : 215-332-8899
Fax Number : 215-332-2350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2009
Last Update Date : 05/16/2009

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Directions to “ KHYATI CHIRAG PATEL ” Practice Location

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