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NPI Code Detail

MEDICARE: SARAV PATEL

MEDICARE: SARAV 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
1183700000XPharmacy Technician049.175681IL

General Provider Information

NPI Number : 1609157650
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAV PATEL
Provider Business Mailing Address
First Line : 3146 PEARL AVE
Second Line :
City : MELROSE PARK
State : IL
Zip : 60164-1063
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6 E NORTH AVE
Second Line :
City : NORTHLAKE
State : IL
Zip : 60164-2516
Country : US
Telephone Number : 708-836-0348
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2011
Last Update Date : 09/05/2011

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Directions to “ SARAV PATEL ” Practice Location

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