Provider Demographics
NPI:1396034435
Name:KHUNT, RAJESHKUMAR CHHAGANLAL (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:RAJESHKUMAR
Middle Name:CHHAGANLAL
Last Name:KHUNT
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6240 EASTKNOLL DR
Mailing Address - Street 2:APT # 111
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-5016
Mailing Address - Country:US
Mailing Address - Phone:810-730-0523
Mailing Address - Fax:
Practice Address - Street 1:2358 N CENTER RD
Practice Address - Street 2:
Practice Address - City:BURTON
Practice Address - State:MI
Practice Address - Zip Code:48509-1004
Practice Address - Country:US
Practice Address - Phone:810-553-3266
Practice Address - Fax:810-553-3271
Is Sole Proprietor?:No
Enumeration Date:2011-03-29
Last Update Date:2022-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302038151183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist