Provider Demographics
NPI:1437487311
Name:DAVE, CHHAYA N (BPHARM)
Entity Type:Individual
Prefix:MRS
First Name:CHHAYA
Middle Name:N
Last Name:DAVE
Suffix:
Gender:F
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6122 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-7804
Mailing Address - Country:US
Mailing Address - Phone:281-412-4896
Mailing Address - Fax:281-997-1732
Practice Address - Street 1:6122 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-7804
Practice Address - Country:US
Practice Address - Phone:281-412-4896
Practice Address - Fax:281-997-1732
Is Sole Proprietor?:No
Enumeration Date:2009-12-03
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44077183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist