Provider Demographics
NPI:1699088476
Name:PATEL, HITAISHEE BHAGUBHAI (RPH)
Entity type:Individual
Prefix:
First Name:HITAISHEE
Middle Name:BHAGUBHAI
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 1:9910 FRANKFORD AVE
Mailing Address - Street 2:SUITE # 250
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-1900
Mailing Address - Country:US
Mailing Address - Phone:215-824-2700
Mailing Address - Fax:
Practice Address - Street 1:9910 FRANKFORD AVE
Practice Address - Street 2:SUITE # 250
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1900
Practice Address - Country:US
Practice Address - Phone:215-824-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441049183500000X
NJ28RI03115500183500000X
MD17357183500000X
FLPS38632183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD17357OtherRPH (PHARMACIST)
NJ28RI03115500OtherRPH (PHARMACIST)
FLPS38632OtherRPH (PHARMACIST)
PARP441049OtherRPH (PHARMACIST)