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NPI Code Detail

MEDICARE: PRIYA KANU PATEL PHARMD

MEDICARE:   PRIYA KANU PATEL  PHARMD
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
1208U00000XClinical Pharmacology PhysicianRPH51259CA

General Provider Information

NPI Number : 1366494213
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRIYA KANU PATEL PHARMD
Provider Business Mailing Address
First Line : 3303 ESPLANADE CIR
Second Line :
City : FOLSOM
State : CA
Zip : 95630-7377
Country : US
Telephone Number : 916-801-4940
Fax Number :
Provider Business Practice Location Address
First Line : 4600 BROADWAY
Second Line : SUITE 1500 I
City : SACRAMENTO
State : CA
Zip : 95820-1527
Country : US
Telephone Number : 916-874-9270
Fax Number : 916-874-3310
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 07/08/2007

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Directions to “ PRIYA KANU PATEL PHARMD” Practice Location

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