Provider Demographics
NPI:1396455416
Name:SINGH, DHIRAJ KUMAR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DHIRAJ
Middle Name:KUMAR
Last Name:SINGH
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 1:6337 SADDLEBROOK WAY
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-1238
Mailing Address - Country:US
Mailing Address - Phone:248-227-6050
Mailing Address - Fax:
Practice Address - Street 1:805 W BUSINESS 380
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-1651
Practice Address - Country:US
Practice Address - Phone:940-626-4889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51455183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist