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NPI Code Detail

MEDICARE: RAM PRAVIN PATEL PHARMD

MEDICARE: RAM PRAVIN 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 Specialist051.307219IL

General Provider Information

NPI Number : 1841121365
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAM PRAVIN PATEL PHARMD
Provider Business Mailing Address
First Line : 5496 S HYDE PARK BLVD APT 502
Second Line :
City : CHICAGO
State : IL
Zip : 60615-5862
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 820 S DAMEN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3728
Country : US
Telephone Number : 312-569-7110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2026
Last Update Date : 05/25/2026

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