Provider Demographics
NPI:1427464056
Name:PATEL, PRIYA I (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PRIYA
Middle Name:I
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 1:409 FARRELL ST APT 401
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-4427
Mailing Address - Country:US
Mailing Address - Phone:313-971-2943
Mailing Address - Fax:
Practice Address - Street 1:1024 NORTH AVE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05408-2753
Practice Address - Country:US
Practice Address - Phone:802-865-7822
Practice Address - Fax:802-865-2014
Is Sole Proprietor?:No
Enumeration Date:2014-07-03
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033.0082685183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist