Provider Demographics
NPI:1396915302
Name:BHOW, KAUSHAL K (RPH)
Entity type:Individual
Prefix:
First Name:KAUSHAL
Middle Name:K
Last Name:BHOW
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 1:1 PATH PLZ
Mailing Address - Street 2:JOURNAL SQUARE
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-2905
Mailing Address - Country:US
Mailing Address - Phone:201-459-0614
Mailing Address - Fax:201-459-0922
Practice Address - Street 1:1 PATH PLZ
Practice Address - Street 2:JOURNAL SQUARE
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-2905
Practice Address - Country:US
Practice Address - Phone:201-459-0614
Practice Address - Fax:201-459-0922
Is Sole Proprietor?:No
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03008800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RI03008800OtherNJ STATE LICENSE