Provider Demographics
NPI:1689197709
Name:CHADHA, RANJEETA KAUR (PHARMD)
Entity Type:Individual
Prefix:
First Name:RANJEETA
Middle Name:KAUR
Last Name:CHADHA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 PINE VALLEY PL
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-9118
Mailing Address - Country:US
Mailing Address - Phone:1925-683-1608
Mailing Address - Fax:
Practice Address - Street 1:3158 DANVILLE BLVD
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:CA
Practice Address - Zip Code:94507-1540
Practice Address - Country:US
Practice Address - Phone:925-314-9714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-20
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA76212183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist