Provider Demographics
NPI:1992252324
Name:PATEL, RICHA R (PHARM D)
Entity type:Individual
Prefix:
First Name:RICHA
Middle Name:R
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:RICHABEN
Other - Middle Name:R
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5806 JOHNSON AVE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-3416
Mailing Address - Country:US
Mailing Address - Phone:440-231-4683
Mailing Address - Fax:
Practice Address - Street 1:5806 JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-3416
Practice Address - Country:US
Practice Address - Phone:440-231-4683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24384183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist