Provider Demographics
NPI:1063782894
Name:PATEL, NAVINCHANDRA FULABHAI (RPH)
Entity type:Individual
Prefix:MR
First Name:NAVINCHANDRA
Middle Name:FULABHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8029 GRAND RIVER RD
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114-9366
Mailing Address - Country:US
Mailing Address - Phone:810-229-7093
Mailing Address - Fax:
Practice Address - Street 1:8029 GRAND RIVER RD
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-9366
Practice Address - Country:US
Practice Address - Phone:810-229-7093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302022560183500000X
SC12785183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist