1790066181 NPI number — ALCHANI P GAJAVELLI B.PHARM

Table of content: ALCHANI P GAJAVELLI B.PHARM (NPI 1790066181)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790066181 NPI number — ALCHANI P GAJAVELLI B.PHARM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GAJAVELLI
Provider First Name:
ALCHANI
Provider Middle Name:
P
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
B.PHARM
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790066181
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/30/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PL.NO 81, BALAJI NAGAR, MEERPET,
Provider Second Line Business Mailing Address:
HYDERABAD, AP, INDIA
Provider Business Mailing Address City Name:
HYDERABAD
Provider Business Mailing Address State Name:
ANDHRAPRADESH
Provider Business Mailing Address Postal Code:
700009
Provider Business Mailing Address Country Code:
IN
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13680 N KENDELL DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33186-1567
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-752-6882
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/30/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  PS38739 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com