Provider Demographics
NPI:1720484314
Name:PATEL, NEHA
Entity type:Individual
Prefix:
First Name:NEHA
Middle Name:
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 1:4740 W MOCKINGBIRD LN STE 100B
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75209-5208
Mailing Address - Country:US
Mailing Address - Phone:214-350-2900
Mailing Address - Fax:214-350-2904
Practice Address - Street 1:4740 W MOCKINGBIRD LN STE 100B
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75209-5208
Practice Address - Country:US
Practice Address - Phone:214-350-2900
Practice Address - Fax:214-350-2904
Is Sole Proprietor?:No
Enumeration Date:2014-11-10
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP448258183500000X
ARPD15949183500000X
MI5302042395183500000X
NJ28RI03557400183500000X
TX62529183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist