Provider Demographics
NPI:1871997627
Name:PATEL, BHUMI (PHARMACIST)
Entity type:Individual
Prefix:
First Name:BHUMI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 ORANGE ST
Mailing Address - Street 2:APT 523
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3130
Mailing Address - Country:US
Mailing Address - Phone:585-281-0801
Mailing Address - Fax:
Practice Address - Street 1:44 ORANGE ST
Practice Address - Street 2:APT 523
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3130
Practice Address - Country:US
Practice Address - Phone:585-281-0801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-22
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0012990183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist