Provider Demographics
NPI:1083201982
Name:LALANI, KHADIJA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KHADIJA
Middle Name:
Last Name:LALANI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2004 VIZCAYA WALK
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-1772
Mailing Address - Country:US
Mailing Address - Phone:682-560-9334
Mailing Address - Fax:
Practice Address - Street 1:2636 MARCONI AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-5106
Practice Address - Country:US
Practice Address - Phone:916-485-6917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-25
Last Update Date:2020-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83834183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist