Provider Demographics
NPI:1609949494
Name:RAJANI, MEHDI HASAN (RPH MS)
Entity Type:Individual
Prefix:MR
First Name:MEHDI
Middle Name:HASAN
Last Name:RAJANI
Suffix:
Gender:M
Credentials:RPH MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2509 7TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554
Mailing Address - Country:US
Mailing Address - Phone:518-781-2362
Mailing Address - Fax:718-380-3554
Practice Address - Street 1:7901 MAIN STREET
Practice Address - Street 2:NORDEN DRUGS
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367
Practice Address - Country:US
Practice Address - Phone:718-969-3314
Practice Address - Fax:718-380-3554
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY17830183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY17830OtherSTATE LICENSE
3376894OtherNABP
NY029646OtherNYS PHARMACY LICENSE
NY00774676Medicaid
NY00774676Medicaid