Provider Demographics
NPI:1992082671
Name:DUMPETI, JANARDHAN
Entity type:Individual
Prefix:MR
First Name:JANARDHAN
Middle Name:
Last Name:DUMPETI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8230 HARVEST BEND LN
Mailing Address - Street 2:APT # 11
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-6151
Mailing Address - Country:US
Mailing Address - Phone:201-850-0752
Mailing Address - Fax:
Practice Address - Street 1:6427 LANDOVER RD
Practice Address - Street 2:
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-1402
Practice Address - Country:US
Practice Address - Phone:301-341-3635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-09
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03425500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist