Healthcare Provider Details

I. General information

NPI: 1013775709
Provider Name (Legal Business Name): NAVREET KAUR KHERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2024
Last Update Date: 03/08/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2787 CHARTER ST
COLUMBUS OH
43228-4607
US

IV. Provider business mailing address

684 BAYHILL CT
MARION OH
43302-8004
US

V. Phone/Fax

Practice location:
  • Phone: 740-244-9248
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03443674
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: