Provider Demographics
NPI:1275703043
Name:MAHINDRA, RAINU (B PHARM)
Entity Type:Individual
Prefix:MRS
First Name:RAINU
Middle Name:
Last Name:MAHINDRA
Suffix:
Gender:F
Credentials:B PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 W 44TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-4402
Mailing Address - Country:US
Mailing Address - Phone:212-956-0624
Mailing Address - Fax:
Practice Address - Street 1:500 W 42ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-6206
Practice Address - Country:US
Practice Address - Phone:212-244-4285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY03222183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist