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NPI Code Detail

MEDICARE: RUCHIR PATEL

MEDICARE:   RUCHIR  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
1183500000XPharmacist5302035251MI

General Provider Information

NPI Number : 1336770262
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUCHIR PATEL
Provider Business Mailing Address
First Line : 2025 FORT ST
Second Line :
City : WYANDOTTE
State : MI
Zip : 48192-3841
Country : US
Telephone Number : 734-283-9640
Fax Number : 734-283-2215
Provider Business Practice Location Address
First Line : 2025 FORT ST
Second Line :
City : WYANDOTTE
State : MI
Zip : 48192-3841
Country : US
Telephone Number : 734-283-9640
Fax Number : 734-283-2215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2020
Last Update Date : 01/29/2020

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Directions to “ RUCHIR PATEL ” Practice Location

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