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NPI Code Detail

MEDICARE: ASHISH ISHVERBHAI PATEL

MEDICARE: ASHISH ISHVERBHAI 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
1183500000XPharmacist0000036859TN

General Provider Information

NPI Number : 1255839395
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHISH ISHVERBHAI PATEL
Provider Business Mailing Address
First Line : 2232 GALLATIN PIKE N
Second Line :
City : MADISON
State : TN
Zip : 37115-2006
Country : US
Telephone Number : 615-859-6216
Fax Number : 615-859-0971
Provider Business Practice Location Address
First Line : 2232 GALLATIN PIKE N
Second Line :
City : MADISON
State : TN
Zip : 37115-2006
Country : US
Telephone Number : 615-859-6216
Fax Number : 615-859-0971
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2018
Last Update Date : 01/23/2018

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Directions to “ ASHISH ISHVERBHAI PATEL ” Practice Location

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