Provider Demographics
NPI:1457935371
Name:MULGAOKAR, RAJASHREE
Entity type:Individual
Prefix:
First Name:RAJASHREE
Middle Name:
Last Name:MULGAOKAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6240 S IOLA CT
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6825
Mailing Address - Country:US
Mailing Address - Phone:402-980-7602
Mailing Address - Fax:
Practice Address - Street 1:6767 S CLINTON ST
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80112-3617
Practice Address - Country:US
Practice Address - Phone:303-566-0005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-06
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO22280183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist