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NPI Code Detail

MEDICARE: REEPA PATEL

MEDICARE: REEPA 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
1183500000XPharmacist062252NY

General Provider Information

NPI Number : 1326578063
Entity Type Code : Individual
Provider Name (Legal Business Name) : REEPA PATEL
Provider Business Mailing Address
First Line : 15 SUNNY DR
Second Line :
City : BELLPORT
State : NY
Zip : 11713-1142
Country : US
Telephone Number : 631-394-8178
Fax Number :
Provider Business Practice Location Address
First Line : 111 MAIN ST
Second Line :
City : SOUTHAMPTON
State : NY
Zip : 11968-4810
Country : US
Telephone Number : 631-283-4250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2017
Last Update Date : 06/15/2017

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Directions to “ REEPA PATEL ” Practice Location

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