MEDICARE: DHARMESH 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	20816	MD

General Provider Information

NPI Number	:	1568877579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DHARMESH PATEL

Provider Business Mailing Address
First Line	:	28 MAGOTHY BEACH RD
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-4428
Country	:	US
Telephone Number	:	410-437-6450
Fax Number	:

Provider Business Practice Location Address
First Line	:	28 MAGOTHY BEACH RD
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-4428
Country	:	US
Telephone Number	:	410-437-6450
Fax Number	:

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

Provider Enumeration Date	:	06/27/2014
Last Update Date	:	06/27/2014

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Directions to “ DHARMESH PATEL ” Practice Location

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