1730608613 NPI number — SHYAMAL HARSHADKUMAR PATEL PHARMD

Table of content: SHYAMAL HARSHADKUMAR PATEL PHARMD (NPI 1730608613)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730608613 NPI number — SHYAMAL HARSHADKUMAR PATEL PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PATEL
Provider First Name:
SHYAMAL
Provider Middle Name:
HARSHADKUMAR
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
M

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:
1730608613
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/12/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 DOGWOOD CT APT 216
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROYERSFORD
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19468-3480
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
810 OLEY ST STE G2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
READING
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19604-2546
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-577-4408
Provider Business Practice Location Address Fax Number:
484-987-7877
Provider Enumeration Date:
09/12/2017

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:  RP451933 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com