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NPI Code Detail

MEDICARE: DR. NISHIT MAHESH PATEL

MEDICARE: DR. NISHIT MAHESH 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
1183500000XPharmacist3237405OH

General Provider Information

NPI Number : 1245885763
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NISHIT MAHESH PATEL
Provider Business Mailing Address
First Line : 2136 CANTERBURY DR
Second Line :
City : WILLOUGHBY
State : OH
Zip : 44094-7186
Country : US
Telephone Number : 440-391-7500
Fax Number :
Provider Business Practice Location Address
First Line : 20405 CHAGRIN BLVD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5324
Country : US
Telephone Number : 216-752-4866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2019
Last Update Date : 08/02/2019

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