Provider Demographics
NPI:1104258383
Name:KADARI, PRANEETHA (RPH)
Entity type:Individual
Prefix:
First Name:PRANEETHA
Middle Name:
Last Name:KADARI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5783 BARBARA DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-7355
Mailing Address - Country:US
Mailing Address - Phone:614-878-1770
Mailing Address - Fax:
Practice Address - Street 1:5783 BARBARA DR
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7355
Practice Address - Country:US
Practice Address - Phone:614-878-1770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03327086183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist