MEDICARE: DHRUV 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
1	183500000X	Pharmacist	23298	NV

General Provider Information

NPI Number	:	1033811617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DHRUV PATEL

Provider Business Mailing Address
First Line	:	857 BARE BRANCH AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-5349
Country	:	US
Telephone Number	:	702-545-8754
Fax Number	:

Provider Business Practice Location Address
First Line	:	3010 W ANN RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-7259
Country	:	US
Telephone Number	:	702-656-3425
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2023
Last Update Date	:	03/20/2023

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Directions to “ DHRUV PATEL ” Practice Location

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