Provider Demographics
NPI:1699196048
Name:PATEL, NIKHIL RAJESHKUMAR (PHARMD)
Entity type:Individual
Prefix:
First Name:NIKHIL
Middle Name:RAJESHKUMAR
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 N CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93703-4313
Mailing Address - Country:US
Mailing Address - Phone:559-498-8283
Mailing Address - Fax:559-498-0252
Practice Address - Street 1:1219 N CEDAR AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-4313
Practice Address - Country:US
Practice Address - Phone:559-498-8283
Practice Address - Fax:559-498-0252
Is Sole Proprietor?:No
Enumeration Date:2014-01-01
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA70375183500000X
NV18666183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist