Provider Demographics
NPI:1053848697
Name:KERAI, NARAN ARJAN (RPH)
Entity Type:Individual
Prefix:
First Name:NARAN
Middle Name:ARJAN
Last Name:KERAI
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 1:52 FALLBOROUGH CT
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-5309
Mailing Address - Country:US
Mailing Address - Phone:619-981-7009
Mailing Address - Fax:
Practice Address - Street 1:1193 ADMIRAL CALLAGHAN LN
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-3701
Practice Address - Country:US
Practice Address - Phone:707-552-0496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-14
Last Update Date:2017-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH41569183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARPH41569OtherRPH LIC #