Provider Demographics
NPI:1225193857
Name:VESAL, SADAF (PHARM D)
Entity Type:Individual
Prefix:
First Name:SADAF
Middle Name:
Last Name:VESAL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 VIENNE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-8945
Mailing Address - Country:US
Mailing Address - Phone:949-660-0990
Mailing Address - Fax:951-353-3044
Practice Address - Street 1:16 VIENNE
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-8945
Practice Address - Country:US
Practice Address - Phone:949-660-0990
Practice Address - Fax:951-353-3044
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 43815183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist