Provider Demographics
NPI:1922359959
Name:KWATRA, SONAL V (PHARMD)
Entity Type:Individual
Prefix:
First Name:SONAL
Middle Name:V
Last Name:KWATRA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SONAL
Other - Middle Name:V
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1315 ST JOSEPH PKWY
Mailing Address - Street 2:#1400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8233
Mailing Address - Country:US
Mailing Address - Phone:832-795-8645
Mailing Address - Fax:281-727-3490
Practice Address - Street 1:1315 ST JOSEPH PKWY
Practice Address - Street 2:#1400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8233
Practice Address - Country:US
Practice Address - Phone:832-795-8645
Practice Address - Fax:281-727-3490
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47703183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist