MEDICARE: MR. MITESHKUMAR 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
1	183500000X	Pharmacist	RPH46027	CA

General Provider Information

NPI Number	:	1467245696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MITESHKUMAR PATEL

Provider Business Mailing Address
First Line	:	4140 CRONDALL DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95864-6080
Country	:	US
Telephone Number	:	510-913-3244
Fax Number	:

Provider Business Practice Location Address
First Line	:	8795 FOLSOM BLVD STE 205
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95826-3721
Country	:	US
Telephone Number	:	800-693-6737
Fax Number	:

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

Provider Enumeration Date	:	05/28/2025
Last Update Date	:	05/28/2025

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Directions to “ MR. MITESHKUMAR PATEL ” Practice Location

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