Provider Demographics
NPI:1033626551
Name:LADWA, SHEYAM (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHEYAM
Middle Name:
Last Name:LADWA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8441 WAYZATA BLVD STE 340
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55426-1372
Mailing Address - Country:US
Mailing Address - Phone:952-746-8185
Mailing Address - Fax:952-746-8187
Practice Address - Street 1:8441 WAYZATA BLVD STE 340
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55426-1372
Practice Address - Country:US
Practice Address - Phone:952-746-8185
Practice Address - Fax:952-746-8187
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-05
Last Update Date:2024-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS0230121835P2201X
CA801581835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory CareGroup - Single Specialty