Provider Demographics
NPI:1548528078
Name:PANDYA, DEHUTI AASHISH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DEHUTI
Middle Name:AASHISH
Last Name:PANDYA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3915 CASE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-3603
Mailing Address - Country:US
Mailing Address - Phone:832-563-5371
Mailing Address - Fax:713-838-8554
Practice Address - Street 1:1333 MOURSUND ST
Practice Address - Street 2:PHARMACY: ROOM N106
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3405
Practice Address - Country:US
Practice Address - Phone:713-797-5288
Practice Address - Fax:713-797-5788
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX407901835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist