MEDICARE: HIREN CHANDUBHAI PATEL R. PH

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	RP439796	PA
2	183500000X	Pharmacist	292972	IL
3	183500000X	Pharmacist	17535	NC

General Provider Information

NPI Number	:	1376842187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HIREN CHANDUBHAI PATEL R. PH

Provider Business Mailing Address
First Line	:	1413 STRATFORD RIDGE LN
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27519-9014
Country	:	US
Telephone Number	:	919-259-4702
Fax Number	:

Provider Business Practice Location Address
First Line	:	1910 FALLS VALLEY DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-3445
Country	:	US
Telephone Number	:	919-844-5440
Fax Number	:

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

Provider Enumeration Date	:	03/18/2011
Last Update Date	:	04/10/2021

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