Provider Demographics
NPI:1588266175
Name:TEJANI, KEVAL PARTH
Entity type:Individual
Prefix:
First Name:KEVAL
Middle Name:PARTH
Last Name:TEJANI
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 1:1618 BEAMER LN
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17202-7578
Mailing Address - Country:US
Mailing Address - Phone:717-331-5749
Mailing Address - Fax:
Practice Address - Street 1:1618 BEAMER LN
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17202-7578
Practice Address - Country:US
Practice Address - Phone:717-331-5749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-10
Last Update Date:2020-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67923183500000X
PARP454859183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist