Provider Demographics
NPI:1194325282
Name:HIRANI, ROHIT
Entity type:Individual
Prefix:
First Name:ROHIT
Middle Name:
Last Name:HIRANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 NW 105TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-4031
Mailing Address - Country:US
Mailing Address - Phone:405-822-8600
Mailing Address - Fax:
Practice Address - Street 1:1201 W PETREE RD
Practice Address - Street 2:
Practice Address - City:ANADARKO
Practice Address - State:OK
Practice Address - Zip Code:73005-6041
Practice Address - Country:US
Practice Address - Phone:405-247-2404
Practice Address - Fax:405-247-2245
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK18722183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist