Provider Demographics
NPI:1487921680
Name:PATEL, NIRAL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NIRAL
Middle Name:
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 1:1147 COOPER ST
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08010-2558
Mailing Address - Country:US
Mailing Address - Phone:609-877-0013
Mailing Address - Fax:609-877-4902
Practice Address - Street 1:6320 ALBEMARLE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-3814
Practice Address - Country:US
Practice Address - Phone:704-568-2950
Practice Address - Fax:704-563-0194
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-17
Last Update Date:2014-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21476183500000X
NJ28RI03129800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist