Provider Demographics
NPI:1902138175
Name:PATEL, DINESHCHANDRA M (BPHARM)
Entity Type:Individual
Prefix:MR
First Name:DINESHCHANDRA
Middle Name:M
Last Name:PATEL
Suffix:
Gender:M
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 15TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-4900
Mailing Address - Country:US
Mailing Address - Phone:718-788-0768
Mailing Address - Fax:
Practice Address - Street 1:222 15TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-4900
Practice Address - Country:US
Practice Address - Phone:718-788-0768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035536183500000X
NJ28R102143100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist