Provider Demographics
NPI:1104426253
Name:GOVIND, SANJAY (RPH)
Entity type:Individual
Prefix:MR
First Name:SANJAY
Middle Name:
Last Name:GOVIND
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 1:5260 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-2332
Mailing Address - Country:US
Mailing Address - Phone:775-624-2080
Mailing Address - Fax:775-624-2083
Practice Address - Street 1:5260 W 7TH ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-2332
Practice Address - Country:US
Practice Address - Phone:775-624-2080
Practice Address - Fax:775-624-2083
Is Sole Proprietor?:No
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV16294183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist