Provider Demographics
NPI:1982927521
Name:ASRANI, CHANDAN (MS)
Entity Type:Individual
Prefix:
First Name:CHANDAN
Middle Name:
Last Name:ASRANI
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-2218
Mailing Address - Country:US
Mailing Address - Phone:914-666-4467
Mailing Address - Fax:914-666-8834
Practice Address - Street 1:19 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-2218
Practice Address - Country:US
Practice Address - Phone:914-666-4467
Practice Address - Fax:914-666-8834
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041652183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist