Provider Demographics
NPI:1851560981
Name:KABARIA, KIRAN
Entity Type:Individual
Prefix:MRS
First Name:KIRAN
Middle Name:
Last Name:KABARIA
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:KIRAN
Other - Middle Name:H
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 LEHIGH AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-1817
Mailing Address - Country:US
Mailing Address - Phone:917-325-5937
Mailing Address - Fax:
Practice Address - Street 1:201 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-1732
Practice Address - Country:US
Practice Address - Phone:973-812-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03149800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist