Provider Demographics
NPI:1427651173
Name:PATEL, MUKESH B (RPH)
Entity type:Individual
Prefix:
First Name:MUKESH
Middle Name:B
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 1:1115 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-4322
Mailing Address - Country:US
Mailing Address - Phone:513-887-8559
Mailing Address - Fax:513-887-7546
Practice Address - Street 1:1115 HIGH ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-4322
Practice Address - Country:US
Practice Address - Phone:513-887-8559
Practice Address - Fax:513-887-7546
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03327141183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist