Provider Demographics
NPI:1174849707
Name:RIZVI/SHEIKH, QURRAT-ULAIN RAZA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:QURRAT-ULAIN
Middle Name:RAZA
Last Name:RIZVI/SHEIKH
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 E 122ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-2700
Mailing Address - Country:US
Mailing Address - Phone:212-369-5555
Mailing Address - Fax:
Practice Address - Street 1:53 E 122ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-2700
Practice Address - Country:US
Practice Address - Phone:212-369-5555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040127183500000X, 1835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835X0200XPharmacy Service ProvidersPharmacistOncology