MEDICARE: DR. PRITI PATEL D.PH.

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	27436	TN

General Provider Information

NPI Number	:	1881827707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRITI PATEL D.PH.

Provider Business Mailing Address
First Line	:	6702 CLINTON HWY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37912-1018
Country	:	US
Telephone Number	:	865-947-9892
Fax Number	:

Provider Business Practice Location Address
First Line	:	6702 CLINTON HWY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37912-1018
Country	:	US
Telephone Number	:	865-947-9892
Fax Number	:

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

Provider Enumeration Date	:	08/26/2009
Last Update Date	:	08/26/2009

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