Provider Demographics
NPI:1760514228
Name:ASRANI, DHIRAJ K (RPH, MS)
Entity Type:Individual
Prefix:MR
First Name:DHIRAJ
Middle Name:K
Last Name:ASRANI
Suffix:
Gender:M
Credentials:RPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 OTIS ST
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02048-2054
Mailing Address - Country:US
Mailing Address - Phone:508-339-1469
Mailing Address - Fax:508-337-6193
Practice Address - Street 1:243 CHAUNCY ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-1247
Practice Address - Country:US
Practice Address - Phone:508-337-8800
Practice Address - Fax:508-337-6193
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA25921183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist