Provider Demographics
NPI:1518399831
Name:KESHAV RX, INC.
Entity type:Organization
Organization Name:KESHAV RX, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/SEC./DIR
Authorized Official - Prefix:
Authorized Official - First Name:TAPAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-442-8078
Mailing Address - Street 1:1307 W 6TH ST
Mailing Address - Street 2:# 107
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-3294
Mailing Address - Country:US
Mailing Address - Phone:951-496-4408
Mailing Address - Fax:951-496-4412
Practice Address - Street 1:1307 W 6TH ST
Practice Address - Street 2:#107
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-1644
Practice Address - Country:US
Practice Address - Phone:951-496-4408
Practice Address - Fax:951-496-4412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-09
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2141468OtherPK