Provider Demographics
NPI:1073234894
Name:RAWAT, PINALI VASANI (RPH)
Entity Type:Individual
Prefix:
First Name:PINALI
Middle Name:VASANI
Last Name:RAWAT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1191 SOUTH BLVD E
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-5453
Mailing Address - Country:US
Mailing Address - Phone:800-456-2112
Mailing Address - Fax:
Practice Address - Street 1:1191 SOUTH BLVD E
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5453
Practice Address - Country:US
Practice Address - Phone:800-456-2112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH033378421835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care