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NPI Code Detail

MEDICARE: DR. SHIVAM PATEL PHARMD

MEDICARE: DR. SHIVAM PATEL PHARMD
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPH236801MA

General Provider Information

NPI Number : 1659968089
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHIVAM PATEL PHARMD
Provider Business Mailing Address
First Line : 1 POE CIR
Second Line :
City : TYNGSBORO
State : MA
Zip : 01879-2734
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16 BOSTON RD
Second Line :
City : CHELMSFORD
State : MA
Zip : 01824-3013
Country : US
Telephone Number : 978-256-2577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2020
Last Update Date : 12/31/2020

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Directions to “ DR. SHIVAM PATEL PHARMD” Practice Location

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