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NPI Code Detail

MEDICARE: SHITAL PATEL PHARMD, BCPS

MEDICARE: SHITAL PATEL PHARMD, BCPS
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
11835X0200XOncology Pharmacist57799TX

General Provider Information

NPI Number : 1609234137
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHITAL PATEL PHARMD, BCPS
Provider Business Mailing Address
First Line : 2525 HOLLY HALL ST
Second Line :
City : HOUSTON
State : TX
Zip : 77054-4124
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2525 HOLLY HALL ST
Second Line :
City : HOUSTON
State : TX
Zip : 77054-4124
Country : US
Telephone Number : 423-400-9430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2016
Last Update Date : 01/28/2016

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Directions to “ SHITAL PATEL PHARMD, BCPS” Practice Location

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