Provider Demographics
NPI:1528150828
Name:HARSHAD & MINAXI PATEL INC
Entity type:Organization
Organization Name:HARSHAD & MINAXI PATEL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARSHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-301-8244
Mailing Address - Street 1:1205 GARCES HWY
Mailing Address - Street 2:STE 107
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93215-3639
Mailing Address - Country:US
Mailing Address - Phone:661-725-7777
Mailing Address - Fax:661-725-5278
Practice Address - Street 1:1205 GARCES HWY
Practice Address - Street 2:STE 107
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-3639
Practice Address - Country:US
Practice Address - Phone:661-725-7777
Practice Address - Fax:661-725-5278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY491253336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0578611OtherNCPDP PROVIDER IDENTIFICATION NUMBER
CAPHA408670Medicaid