Provider Demographics
NPI:1346063419
Name:JADEJA, DEVEN MUKESH (PHARMD)
Entity type:Individual
Prefix:
First Name:DEVEN
Middle Name:MUKESH
Last Name:JADEJA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8002 BIRCH CANYON DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-1266
Mailing Address - Country:US
Mailing Address - Phone:832-867-0978
Mailing Address - Fax:
Practice Address - Street 1:608 SPRING HILL DR STE 300
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-6032
Practice Address - Country:US
Practice Address - Phone:281-466-5804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74599183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist