Provider Demographics
NPI:1992746655
Name:PATEL, SAJID (PHARM D)
Entity type:Individual
Prefix:DR
First Name:SAJID
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 PROSPECT PARK W
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-5802
Mailing Address - Country:US
Mailing Address - Phone:718-768-1325
Mailing Address - Fax:718-832-3364
Practice Address - Street 1:226 PROSPECT PARK W
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-5802
Practice Address - Country:US
Practice Address - Phone:718-768-1325
Practice Address - Fax:718-832-3364
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050134183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01545853Medicaid
NY5095040001Medicare NSC
NY5095040001Medicare ID - Type Unspecified