Kavin Mahesh Patel
Individual provider Active NPI Pharmacist · Munford, TN
NPI 1568024248 · NPPES record last updated Jul 2, 2019
Key facts
- NPI
- 1568024248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 43275 (TN)
- Practice address
- 99 Doctors Dr
Munford, TN 38058-6305 - Phone
- (901) 840-1998
- NPI assigned
- Jul 2, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43275 | TN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 43275 | TN | Yes |
Addresses
Primary practice location
99 Doctors Dr
Munford, TN 38058-6305
Mailing address
1007 Highway 51 N
Covington, TN 38019-6000
Phone (901) 490-3776
Other providers in Munford, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2019. 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.