Provider Demographics
NPI:1457885063
Name:RAJANI, KAMLESH (RPH)
Entity Type:Individual
Prefix:
First Name:KAMLESH
Middle Name:
Last Name:RAJANI
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 1:4860 48TH AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33714-2836
Mailing Address - Country:US
Mailing Address - Phone:727-522-3222
Mailing Address - Fax:727-522-7111
Practice Address - Street 1:4860 48TH AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33714-2836
Practice Address - Country:US
Practice Address - Phone:727-522-3222
Practice Address - Fax:727-522-7111
Is Sole Proprietor?:No
Enumeration Date:2017-04-20
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS36533183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist