Provider Demographics
NPI:1043445448
Name:PARANJAPE, PARAG ANANT (RPH)
Entity Type:Individual
Prefix:MR
First Name:PARAG
Middle Name:ANANT
Last Name:PARANJAPE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 VIOLETA WAY SE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-4039
Mailing Address - Country:US
Mailing Address - Phone:505-792-6134
Mailing Address - Fax:505-990-6841
Practice Address - Street 1:6200 COORS BLVD NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-2785
Practice Address - Country:US
Practice Address - Phone:505-898-5970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00007168183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist