Provider Demographics
NPI:1205424751
Name:PATEL, TRISHA NAYAN (PHARMD)
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:NAYAN
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 W FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92545-3718
Mailing Address - Country:US
Mailing Address - Phone:951-314-9414
Mailing Address - Fax:
Practice Address - Street 1:1850 W FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92545-3718
Practice Address - Country:US
Practice Address - Phone:951-262-7576
Practice Address - Fax:951-465-2381
Is Sole Proprietor?:No
Enumeration Date:2021-01-08
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79972183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist