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NPI Code Detail

MEDICARE: DR. PRATIK PATEL PHARM.D.

MEDICARE: DR. PRATIK PATEL PHARM.D.
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
1183500000XPharmacist5302036484MI
21835P1200XPharmacotherapy Pharmacist5302036484MI

General Provider Information

NPI Number : 1518246362
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRATIK PATEL PHARM.D.
Provider Business Mailing Address
First Line : 21431 GRAND RIVER AVE
Second Line :
City : DETROIT
State : MI
Zip : 48219-3801
Country : US
Telephone Number : 313-778-7710
Fax Number :
Provider Business Practice Location Address
First Line : 21431 GRAND RIVER AVE
Second Line :
City : DETROIT
State : MI
Zip : 48219-3801
Country : US
Telephone Number : 313-778-7710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2011
Last Update Date : 05/30/2015

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Directions to “ DR. PRATIK PATEL PHARM.D.” Practice Location

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