Provider Demographics
NPI:1396347936
Name:SYAL, RAJNI
Entity type:Individual
Prefix:MRS
First Name:RAJNI
Middle Name:
Last Name:SYAL
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 1:1009 ISLAND VIEW ST
Mailing Address - Street 2:
Mailing Address - City:KEMAH
Mailing Address - State:TX
Mailing Address - Zip Code:77565-2168
Mailing Address - Country:US
Mailing Address - Phone:409-789-7435
Mailing Address - Fax:
Practice Address - Street 1:6410 INTERSTATE 45
Practice Address - Street 2:
Practice Address - City:LA MARQUE
Practice Address - State:TX
Practice Address - Zip Code:77568-3085
Practice Address - Country:US
Practice Address - Phone:409-986-7726
Practice Address - Fax:409-986-6810
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38368183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist