Provider Demographics
NPI:1306130042
Name:PANHALKAR, UJWALKUMAR B (BPHARM , MPHARM)
Entity type:Individual
Prefix:MR
First Name:UJWALKUMAR
Middle Name:B
Last Name:PANHALKAR
Suffix:
Gender:M
Credentials:BPHARM , MPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3515 OLD CLARKSVILLE PIKE STE A
Mailing Address - Street 2:
Mailing Address - City:JOELTON
Mailing Address - State:TN
Mailing Address - Zip Code:37080-8892
Mailing Address - Country:US
Mailing Address - Phone:615-502-1615
Mailing Address - Fax:615-285-8111
Practice Address - Street 1:3515 OLD CLARKSVILLE PIKE STE A
Practice Address - Street 2:
Practice Address - City:JOELTON
Practice Address - State:TN
Practice Address - Zip Code:37080-8892
Practice Address - Country:US
Practice Address - Phone:615-502-1615
Practice Address - Fax:615-285-8111
Is Sole Proprietor?:No
Enumeration Date:2011-05-28
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26682183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist