Individual
SHASHVAT DUSHYANTKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3757 OLD COURT RD, PIKESVILLE, MD 21208-3902
(410) 602-7661
Mailing address
6357 BURNT MOUNTAIN PATH, COLUMBIA, MD 21045-7404
(443) 980-0616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25156
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25156
MARYLAND BOARD OF PHARMACY LICENSE
MD
Enumeration date
11/20/2020
Last updated
11/20/2020
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