Provider Demographics
NPI:1790066199
Name:BAROT, SAJANI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SAJANI
Middle Name:
Last Name:BAROT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:SAJANI
Other - Middle Name:
Other - Last Name:MEHTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:118 BRIDGEWATER XING
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-8603
Mailing Address - Country:US
Mailing Address - Phone:630-849-6569
Mailing Address - Fax:
Practice Address - Street 1:238 S PEARSON RD
Practice Address - Street 2:
Practice Address - City:PEARL
Practice Address - State:MS
Practice Address - Zip Code:39208-5637
Practice Address - Country:US
Practice Address - Phone:601-914-4848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST-12769183500000X
IL051293715183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist