Provider Demographics
NPI:1144342627
Name:PATEL, RAJESH PUNJABHAI
Entity type:Individual
Prefix:MR
First Name:RAJESH
Middle Name:PUNJABHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5102 FIELD BRIAR LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3372
Mailing Address - Country:US
Mailing Address - Phone:281-217-5548
Mailing Address - Fax:
Practice Address - Street 1:4101 GREENBRIAR ST STE 235
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-5244
Practice Address - Country:US
Practice Address - Phone:713-521-1700
Practice Address - Fax:713-521-5855
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist