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NPI Code Detail

MEDICARE: MRS. PRITI PATEL

MEDICARE: MRS. PRITI 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
1183500000XPharmacist26019377AIN

General Provider Information

NPI Number : 1366726168
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PRITI PATEL
Provider Business Mailing Address
First Line : 412 WORTH CT
Second Line :
City : CARMEL
State : IN
Zip : 46032-4404
Country : US
Telephone Number : 317-627-0671
Fax Number :
Provider Business Practice Location Address
First Line : 11020 PENDLETON PIKE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46236-2817
Country : US
Telephone Number : 317-826-3903
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2011
Last Update Date : 09/28/2011

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Directions to “ MRS. PRITI PATEL ” Practice Location

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