Provider Demographics
NPI:1215470521
Name:BRAHMBHATT, AKSHAR ASHOK (RPH)
Entity type:Individual
Prefix:
First Name:AKSHAR
Middle Name:ASHOK
Last Name:BRAHMBHATT
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 1:5301 CHEW AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19138-2803
Mailing Address - Country:US
Mailing Address - Phone:215-438-4695
Mailing Address - Fax:
Practice Address - Street 1:521 E MARKET ST STE H
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-4170
Practice Address - Country:US
Practice Address - Phone:571-410-1556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-18
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP450951183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist