Provider Demographics
NPI:1972149854
Name:KHINDRI, VARINDER MOHAN
Entity Type:Individual
Prefix:
First Name:VARINDER
Middle Name:MOHAN
Last Name:KHINDRI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7188 N SAGINAW RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT MORRIS
Mailing Address - State:MI
Mailing Address - Zip Code:48458-2128
Mailing Address - Country:US
Mailing Address - Phone:810-687-6263
Mailing Address - Fax:
Practice Address - Street 1:7188 N SAGINAW RD
Practice Address - Street 2:
Practice Address - City:MOUNT MORRIS
Practice Address - State:MI
Practice Address - Zip Code:48458-2128
Practice Address - Country:US
Practice Address - Phone:810-687-6263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-26
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302041727183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist