Banjara, Niraj D

Banjara, Niraj D is an sole proprietor health care provider with primary practice located at 27680 Bermont Road , Punta Gorda FL 33982. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Banjara, Niraj D can be contacted via phone (941) 505-9583.

Contact Information

Primary practice address
27680 Bermont Road Punta Gorda FL 33982
Fax: (941) 505-9657
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS37303 Florida

Profile Details

NPI number 1700912698
LBN Legal business name Banjara, Niraj D
Credentials PHARMACIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700912698 NPPES
Florida MEDICAID 106506800

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