Provider Demographics
NPI:1598020620
Name:CHOKSHI, MANTHAN (PHARM D)
Entity Type:Individual
Prefix:
First Name:MANTHAN
Middle Name:
Last Name:CHOKSHI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 PARSIPPANY BLVD
Mailing Address - Street 2:APT 142
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1851
Mailing Address - Country:US
Mailing Address - Phone:201-787-1797
Mailing Address - Fax:
Practice Address - Street 1:1100 PARSIPPANY BLVD
Practice Address - Street 2:APT 142
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1851
Practice Address - Country:US
Practice Address - Phone:201-787-1797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-04
Last Update Date:2012-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03439700183500000X
VA0202211449183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist