Provider Demographics
NPI:1003013285
Name:GHAURI, FOUZIA KHAN (RPH)
Entity Type:Individual
Prefix:
First Name:FOUZIA
Middle Name:KHAN
Last Name:GHAURI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 SHOREVIEW DR APT 2
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-1942
Mailing Address - Country:US
Mailing Address - Phone:914-202-8651
Mailing Address - Fax:
Practice Address - Street 1:HARLEM HOSPITAL
Practice Address - Street 2:506 LENOX AVE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037
Practice Address - Country:US
Practice Address - Phone:212-939-1761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051454183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist