Provider Demographics
NPI:1649583725
Name:YAJURVEDI, KAVYA (RPH)
Entity Type:Individual
Prefix:MS
First Name:KAVYA
Middle Name:
Last Name:YAJURVEDI
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 1:1925 BARRYMORE CMN
Mailing Address - Street 2:UNIT U
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2382
Mailing Address - Country:US
Mailing Address - Phone:171-831-6161
Mailing Address - Fax:
Practice Address - Street 1:2150 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94061-1304
Practice Address - Country:US
Practice Address - Phone:151-036-9207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63373183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist