MEDICARE: NAITIK KUMAR 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	RP450535	PA

General Provider Information

NPI Number	:	1306391578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAITIK KUMAR PATEL

Provider Business Mailing Address
First Line	:	407 SUSAN CIR
Second Line	:
City	:	NORTH WALES
State	:	PA
Zip	:	19454-1416
Country	:	US
Telephone Number	:	267-288-7116
Fax Number	:

Provider Business Practice Location Address
First Line	:	407 SUSAN CIR
Second Line	:
City	:	NORTH WALES
State	:	PA
Zip	:	19454-1416
Country	:	US
Telephone Number	:	267-288-7116
Fax Number	:

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

Provider Enumeration Date	:	08/17/2016
Last Update Date	:	08/17/2016

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Directions to “ NAITIK KUMAR PATEL ” Practice Location

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