Provider Demographics
NPI:1073760740
Name:KUMBHANI, RAJESH BHIMJIBHAI (RPH)
Entity Type:Individual
Prefix:MR
First Name:RAJESH
Middle Name:BHIMJIBHAI
Last Name:KUMBHANI
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 1:898 E 163RD ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459-4108
Mailing Address - Country:US
Mailing Address - Phone:718-378-6800
Mailing Address - Fax:718-378-7900
Practice Address - Street 1:898 E 163RD ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-4108
Practice Address - Country:US
Practice Address - Phone:718-378-6800
Practice Address - Fax:718-378-7900
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043052183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist