Provider Demographics
NPI:1801497516
Name:DOOBAY, KHEMRAJ P
Entity type:Individual
Prefix:DR
First Name:KHEMRAJ
Middle Name:P
Last Name:DOOBAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15825 SW 102ND LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-5414
Mailing Address - Country:US
Mailing Address - Phone:786-376-3113
Mailing Address - Fax:
Practice Address - Street 1:15885 SW 88TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-1000
Practice Address - Country:US
Practice Address - Phone:305-388-1746
Practice Address - Fax:305-388-2165
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-08
Last Update Date:2020-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS31557183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist