Provider Demographics
NPI:1487915807
Name:PATEL, NAMRATA VINIT
Entity type:Individual
Prefix:
First Name:NAMRATA
Middle Name:VINIT
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10173 COPPER MEADOW AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89166-6659
Mailing Address - Country:US
Mailing Address - Phone:551-689-2299
Mailing Address - Fax:
Practice Address - Street 1:10173 COPPER MEADOW AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89166-6659
Practice Address - Country:US
Practice Address - Phone:551-689-2299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-01
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV18422183500000X
NJ28RI03489000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist