Provider Demographics
NPI:1245544915
Name:PATEL, RADHIKA ATIT
Entity type:Individual
Prefix:MRS
First Name:RADHIKA
Middle Name:ATIT
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 MORRISTOWN RD
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-3595
Mailing Address - Country:US
Mailing Address - Phone:732-583-4347
Mailing Address - Fax:732-290-2617
Practice Address - Street 1:27 MORRISTOWN RD
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-3595
Practice Address - Country:US
Practice Address - Phone:732-583-4347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-04
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02999700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist