Basic Information
| Provider Information | |||||||||
| NPI: | 1760045520 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KANJI | ||||||||
| FirstName: | MIRAJ | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHARM D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9539 HUFFMEISTER RD STE C | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770952856 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2816568063 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 9539 HUFFMEISTER RD STE C | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770952856 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2816568063 | ||||||||
| FaxNumber: | 8326834849 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2019 | ||||||||
| LastUpdateDate: | 04/17/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 57217 | TX | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.