Provider Demographics
NPI:1942604699
Name:GADANI, BHUPENDRA K (RPH)
Entity Type:Individual
Prefix:
First Name:BHUPENDRA
Middle Name:K
Last Name:GADANI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7671 QUARTERFIELD RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-4998
Mailing Address - Country:US
Mailing Address - Phone:410-590-9100
Mailing Address - Fax:410-590-9122
Practice Address - Street 1:7671 QUARTERFIELD RD
Practice Address - Street 2:SUITE 103
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-4998
Practice Address - Country:US
Practice Address - Phone:410-590-9100
Practice Address - Fax:410-590-9122
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-09
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11290183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist