Kaushik Patel, RPH
Individual provider Active NPI Pharmacist · Auburn, GA
NPI 1003239526 · NPPES record last updated Feb 4, 2014
Key facts
- NPI
- 1003239526
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH024473 (GA)
- Practice address
- 1069 Woodtrace LN
Auburn, GA 30011-4727 - Phone
- (678) 772-1029
- NPI assigned
- Feb 4, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH024473 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahant Care Inc | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH024473 | GA | Yes |
Addresses
Primary practice location
1069 Woodtrace LN
Auburn, GA 30011-4727
Mailing address
1069 Woodtrace LN
Auburn, GA 30011-4727
Phone (678) 772-1029
Other providers in Auburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.