Provider Demographics
NPI:1598316465
Name:BAXI, ADITI (RPH)
Entity Type:Individual
Prefix:
First Name:ADITI
Middle Name:
Last Name:BAXI
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 1:6910 ALMADEN EXPY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95120-3201
Mailing Address - Country:US
Mailing Address - Phone:408-927-7310
Mailing Address - Fax:408-927-7313
Practice Address - Street 1:6910 ALMADEN EXPY
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95120-3201
Practice Address - Country:US
Practice Address - Phone:408-927-7310
Practice Address - Fax:408-927-7313
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-23
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA70431183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty