Provider Demographics
NPI:1548602105
Name:PATEL, SHEFALI R (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHEFALI
Middle Name:R
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 1:5742 BROCKTON DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-5435
Mailing Address - Country:US
Mailing Address - Phone:281-785-0020
Mailing Address - Fax:
Practice Address - Street 1:895 S STATE ROAD 135
Practice Address - Street 2:T-1364
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-9413
Practice Address - Country:US
Practice Address - Phone:317-883-5200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26025203A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist