Provider Demographics
NPI:1093170797
Name:SAYEDI, KHALID HAMDULLAH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KHALID
Middle Name:HAMDULLAH
Last Name:SAYEDI
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:PO BOX 79494
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92877-0183
Mailing Address - Country:US
Mailing Address - Phone:916-538-1661
Mailing Address - Fax:
Practice Address - Street 1:9064 PULSAR CT
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-7354
Practice Address - Country:US
Practice Address - Phone:951-666-5438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-22
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25739183500000X
CA74342183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist