1528352820 NPI number — DR. SAPNA NATVERBHAI PATEL PHARMD

Table of content: DR. SAPNA NATVERBHAI PATEL PHARMD (NPI 1528352820)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528352820 NPI number — DR. SAPNA NATVERBHAI PATEL PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PATEL
Provider First Name:
SAPNA
Provider Middle Name:
NATVERBHAI
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528352820
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
809 N AZUSA AVE
Provider Second Line Business Mailing Address:
TARGET PHARMACY T-2627
Provider Business Mailing Address City Name:
AZUSA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91702-2510
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
626-629-1122
Provider Business Mailing Address Fax Number:
626-629-1123

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
809 N AZUSA AVE
Provider Second Line Business Practice Location Address:
TARGET PHARMACY T-2627
Provider Business Practice Location Address City Name:
AZUSA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91702-2510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-629-1122
Provider Business Practice Location Address Fax Number:
626-629-1123
Provider Enumeration Date:
06/03/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  RPH 61797 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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