Healthcare Provider Details

I. General information

NPI: 1861801920
Provider Name (Legal Business Name): NIRAJ ZAVERI PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2014
Last Update Date: 08/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11700 PRESTON RD STE 703
DALLAS TX
75230-6112
US

IV. Provider business mailing address

11700 PRESTON RD STE 703
DALLAS TX
75230-6112
US

V. Phone/Fax

Practice location:
  • Phone: 214-750-4502
  • Fax:
Mailing address:
  • Phone: 214-750-4502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number55298
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: