Provider Demographics
NPI:1295035418
Name:CHAWLANI, DEEPA (RPH)
Entity Type:Individual
Prefix:
First Name:DEEPA
Middle Name:
Last Name:CHAWLANI
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 1:48 GREEN ASH ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NJ
Mailing Address - Zip Code:08831
Mailing Address - Country:US
Mailing Address - Phone:908-420-4070
Mailing Address - Fax:
Practice Address - Street 1:586 LENOX AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1201
Practice Address - Country:US
Practice Address - Phone:212-368-3777
Practice Address - Fax:212-368-3778
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03132300183500000X
NY0550321183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist