Provider Demographics
NPI:1821604679
Name:MAHESHWARI, AIKANSH (PHARM D)
Entity Type:Individual
Prefix:
First Name:AIKANSH
Middle Name:
Last Name:MAHESHWARI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25702-1407
Mailing Address - Country:US
Mailing Address - Phone:304-697-0366
Mailing Address - Fax:
Practice Address - Street 1:2901 5TH AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25702-1407
Practice Address - Country:US
Practice Address - Phone:304-697-0366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY20150183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No183500000XPharmacy Service ProvidersPharmacist