Provider Demographics
NPI:1063734754
Name:PATEL, KAUSHIK RAMAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KAUSHIK
Middle Name:RAMAN
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6083 CORAL VIEW DR
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-9439
Mailing Address - Country:US
Mailing Address - Phone:704-214-4000
Mailing Address - Fax:
Practice Address - Street 1:6083 CORAL VIEW DR
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-9439
Practice Address - Country:US
Practice Address - Phone:704-214-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-22
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16388183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist