Provider Demographics
NPI:1902406911
Name:CHARANIA, SAPNA JIWANI
Entity Type:Individual
Prefix:DR
First Name:SAPNA
Middle Name:JIWANI
Last Name:CHARANIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 ROSWELL RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-7621
Mailing Address - Country:US
Mailing Address - Phone:678-695-4961
Mailing Address - Fax:678-695-4962
Practice Address - Street 1:3101 ROSWELL RD
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-7621
Practice Address - Country:US
Practice Address - Phone:678-695-4961
Practice Address - Fax:678-695-4962
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH029984183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist