Provider Demographics
NPI:1710782479
Name:PATEL, SHREYA RIKEN
Entity type:Individual
Prefix:
First Name:SHREYA
Middle Name:RIKEN
Last Name:PATEL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4431 FRANCESCA LN
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-2915
Mailing Address - Country:US
Mailing Address - Phone:215-500-4485
Mailing Address - Fax:
Practice Address - Street 1:4431 FRANCESCA LN
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-2915
Practice Address - Country:US
Practice Address - Phone:215-500-4485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP455110183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist