Provider Demographics
NPI:1891104907
Name:SUNDRANI, NAVID WAZIR (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:NAVID
Middle Name:WAZIR
Last Name:SUNDRANI
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 1:3075 PAINTED LAKE CIR UNIT 1
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-4912
Mailing Address - Country:US
Mailing Address - Phone:832-212-1605
Mailing Address - Fax:
Practice Address - Street 1:1300 E CAMPBELL RD
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-1937
Practice Address - Country:US
Practice Address - Phone:832-212-1605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-04
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55191183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist