Provider Demographics
NPI:1235439233
Name:KAKAR, JAIKISHAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAIKISHAN
Middle Name:
Last Name:KAKAR
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:JACK
Other - Middle Name:
Other - Last Name:KAKAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10541 CONNECTICUT AVE
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2401
Mailing Address - Country:US
Mailing Address - Phone:301-929-0733
Mailing Address - Fax:301-933-3830
Practice Address - Street 1:10541 CONNECTICUT AVE
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2401
Practice Address - Country:US
Practice Address - Phone:301-929-0733
Practice Address - Fax:301-933-3830
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18836183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist