Provider Demographics
NPI:1902181456
Name:KANZARIA, USHMA RAMESH (PHARMD)
Entity Type:Individual
Prefix:
First Name:USHMA
Middle Name:RAMESH
Last Name:KANZARIA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 DERBYSHIRE PL
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-3607
Mailing Address - Country:US
Mailing Address - Phone:925-788-4343
Mailing Address - Fax:
Practice Address - Street 1:3425 W FRYE RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-5008
Practice Address - Country:US
Practice Address - Phone:480-281-0008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS018719183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist