Provider Demographics
NPI:1659413185
Name:KAMANI, MINESH B (REG PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:MINESH
Middle Name:B
Last Name:KAMANI
Suffix:
Gender:M
Credentials:REG PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7460 W ADDISON ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-3327
Mailing Address - Country:US
Mailing Address - Phone:773-625-3244
Mailing Address - Fax:773-625-3263
Practice Address - Street 1:7460 W ADDISON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-3327
Practice Address - Country:US
Practice Address - Phone:773-625-3244
Practice Address - Fax:773-625-3263
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist