Provider Demographics
NPI:1992019889
Name:BHAYANI, ALI (RPH)
Entity Type:Individual
Prefix:MR
First Name:ALI
Middle Name:
Last Name:BHAYANI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:AL
Other - Middle Name:
Other - Last Name:BHAYANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:6818 S ZARZAMORA ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1136
Mailing Address - Country:US
Mailing Address - Phone:210-927-4596
Mailing Address - Fax:210-923-0024
Practice Address - Street 1:6818 S ZARZAMORA ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1136
Practice Address - Country:US
Practice Address - Phone:210-927-4596
Practice Address - Fax:210-923-0024
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37795183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist