Provider Demographics
NPI:1154909927
Name:RAMCHANDANI, DIRSHTI R
Entity type:Individual
Prefix:DR
First Name:DIRSHTI
Middle Name:R
Last Name:RAMCHANDANI
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 1:8146 243RD ST
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426-1320
Mailing Address - Country:US
Mailing Address - Phone:718-838-4504
Mailing Address - Fax:
Practice Address - Street 1:8146 243RD ST
Practice Address - Street 2:
Practice Address - City:BELLEROSE
Practice Address - State:NY
Practice Address - Zip Code:11426-1320
Practice Address - Country:US
Practice Address - Phone:718-838-4504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY066126183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist