Provider Demographics
NPI:1083930937
Name:PATEL, YESHA (PHRAMD, RPH)
Entity type:Individual
Prefix:DR
First Name:YESHA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHRAMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E GREENTREE RD SUITE #8
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-9461
Mailing Address - Country:US
Mailing Address - Phone:856-983-8700
Mailing Address - Fax:856-983-8703
Practice Address - Street 1:300 E GREENTREE RD SUITE #8
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-9461
Practice Address - Country:US
Practice Address - Phone:856-983-8700
Practice Address - Fax:856-983-8703
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-18
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03182700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist