Provider Demographics
NPI:1538448170
Name:PATEL, KRUNAL BABUBHAI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KRUNAL
Middle Name:BABUBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4849 FM 1488 RD STE 1500
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77354-4560
Mailing Address - Country:US
Mailing Address - Phone:281-515-2467
Mailing Address - Fax:
Practice Address - Street 1:4849 FM 1488 RD STE 1500
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77354-4560
Practice Address - Country:US
Practice Address - Phone:812-864-1184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-14
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50465183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist