Provider Demographics
NPI:1154698751
Name:PATEL, HETAL ARPIT (RPH)
Entity type:Individual
Prefix:
First Name:HETAL
Middle Name:ARPIT
Last Name:PATEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1570 W CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-1528
Mailing Address - Country:US
Mailing Address - Phone:408-374-3038
Mailing Address - Fax:408-374-3062
Practice Address - Street 1:1570 W CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-1528
Practice Address - Country:US
Practice Address - Phone:408-374-3038
Practice Address - Fax:408-374-3062
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-27
Last Update Date:2011-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52148183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist