Provider Demographics
NPI:1255333654
Name:PUROHIT, CHIRAYU DINESH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHIRAYU
Middle Name:DINESH
Last Name:PUROHIT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2914 SUMMIT PL
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-3152
Mailing Address - Country:US
Mailing Address - Phone:205-249-3630
Mailing Address - Fax:205-956-3912
Practice Address - Street 1:5401 BEACON DR
Practice Address - Street 2:
Practice Address - City:IRONDALE
Practice Address - State:AL
Practice Address - Zip Code:35210-2859
Practice Address - Country:US
Practice Address - Phone:205-951-0355
Practice Address - Fax:205-956-3912
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14794183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist