Provider Demographics
NPI:1831440312
Name:DHOUNI, JEEVAN SINGH (RPH)
Entity type:Individual
Prefix:MR
First Name:JEEVAN
Middle Name:SINGH
Last Name:DHOUNI
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 1:30103 OSCEOLA CIR
Mailing Address - Street 2:
Mailing Address - City:BREEZY POINT
Mailing Address - State:MN
Mailing Address - Zip Code:56472-3407
Mailing Address - Country:US
Mailing Address - Phone:949-280-1439
Mailing Address - Fax:
Practice Address - Street 1:30103 OSCEOLA CIRCLE
Practice Address - Street 2:
Practice Address - City:BREEZY POINT
Practice Address - State:MN
Practice Address - Zip Code:56472
Practice Address - Country:US
Practice Address - Phone:949-280-1439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN121071183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist