Healthcare Provider Details

I. General information

NPI: 1881809283
Provider Name (Legal Business Name): BINDIYA D KOTHARI RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BINDI KOTHARI RPH

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 E 12 MILE RD
WARREN MI
48092-5642
US

IV. Provider business mailing address

31190 KINGSLEY CT
NOVI MI
48377-1634
US

V. Phone/Fax

Practice location:
  • Phone: 586-751-3600
  • Fax: 586-751-1527
Mailing address:
  • Phone: 248-669-4445
  • Fax: 586-751-1527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302032650
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: