Provider Demographics
NPI:1386473536
Name:PATEL, MAYA VIRENDRA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MAYA
Middle Name:VIRENDRA
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17201 KEELY DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2607
Mailing Address - Country:US
Mailing Address - Phone:813-952-8592
Mailing Address - Fax:
Practice Address - Street 1:4811 N 83RD AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85033-1000
Practice Address - Country:US
Practice Address - Phone:623-247-4445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-27
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS0270261835P1200X
TN484661835P1200X
VT033.01353901835P1200X
GARPH0350291835P1200X
CARPH901501835P1200X
NY0717941835P1200X
ID52619711835P1200X
TX746311835P1200X
FLPS670941835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy