MEDICARE: MR. MOHAMMED I PATEL M.S.

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	28534	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3382215	OTHER	NY	NABP #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437186749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MOHAMMED I PATEL M.S.

Provider Business Mailing Address
First Line	:	205 PROSPECT PARK WEST
Second Line	:	OAK PARK PHARMACY
City	:	BROOKLYN
State	:	NY
Zip	:	11215
Country	:	US
Telephone Number	:	718-768-6300
Fax Number	:	718-768-6487

Provider Business Practice Location Address
First Line	:	205 PROSPECT PARK W
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-5706
Country	:	US
Telephone Number	:	718-768-6300
Fax Number	:	718-768-6487

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

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	02/05/2008

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